摘要
目的 探讨普外科急诊手术术前感染性指标的临床诊断和意义,以期提高医疗安全性.方法随机选取14380例普外科急诊手术患者,在术前均予以感染性指标乙型肝炎病毒（HBV）、丙型肝炎病毒抗体（抗HCV）、人类免疫缺陷病毒型抗体（抗-HIV）及梅毒螺旋体抗体（TPAb）检测,分析各项临床意义.结果 HBsAg阳性率为15.22%;抗-HCV阳性率为0.68%;抗-HIV阳性率为0.097%;抗-TP阳性率为1.06%.其中HBsAg和抗-TP阳性以20～40岁的男性居多,抗-HIV呈现平稳中升高趋势.结论普外科急诊手术做好感染性指标可探查患者的体质和手术适应证,另外一方面可防止医疗纠纷.
Objective To observe the clinical diagnosis and significance of pre-operation infectious indicators for patients with emergency operation in general surgery department, for improving medical safety. Methods A total of 14380 patients with emergency operation in general surgery department were selected, and received the detection of HBV, anti-HCV, anti-HIV and TPAb on infectious indicators. And the clinical significance was analyzed. Results The positive rate of HBsAg was 15.22%, anti-HCV was 0.68%, anti-HIV was 0.097%, and anti-TP was 1.06%. Male with the age from 20 to 40 occupy most of HBsAg and anti-TP. And anti-HIV had the tendency of steady increase. Conclusion Do well in infectious indicators in emergency operation of general surgery department not only can observe the habitus and indications of patients, but also can prevent medical disputes.
出处
《中国现代医生》
2014年第7期37-39,共3页
China Modern Doctor
基金
浙江省医学会医学发展计划一般资助项目(2010-ZW046)
