目的 为探讨改进从献血到受血的各个环节流程,降低因输血而感染人类免疫缺陷病毒(human immunodeficiency virus, HIV)的风险。 方法 对整个输血感染HIV过程进行分析,探讨HIV关键控制点。 结果 献血者献血标本抗-HIV检测阴性,分别输注了其悬浮红细胞和血浆的两例患者一段时间后均被检出抗-HIV阳性,追查献血员重新取样检验,抗-HIV确认阳性,确认是因窗口期造成的输血感染。 结论 做好献血到用血的每个环节,特别做好献血员的宣传招募、征询体检、血液检测、临床用血管理是阻断经血传播HIV的必要措施。
Objective To explore the way to improve blood donation-blood transfusion process and reduce the risk of HIV infection through blood transfusion. Methods The analysis was conducted on the blood transfusion process to find out the key point of HIV infection. Results The HIV test result of the blood donor was negative, but 2 patients who received the donated blood were detected to be HIV positive. The re-test confirmed that the blood donor was HIV positive. The 2 HIV infections were caused by blood transfusions during the window phase of the blood donor. Conclusion It is essential to strengthen the management of blood donation and transfusion, especially the blood donor's recruitment, health examination and blood detection, to reduce the HIV infection through blood transfusion.