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医务人员在工作中不慎吸入含有乙型肝炎病毒(HBV)阳性的血清,或被HBV污染的针刺伤,或因含HBV的材料溅泼到破损的皮肤及粘膜上,均可发生接触后感染。现报告2例。 一、对象和方法 2例中1例化验人员,1985年不慎用口吸入含HBsAg,HBeAg、抗-HBc及乙肝病毒DNA(HBV-DNA)均为阳性的检验材料。另1名产科医师于1985年给1名急性乙肝孕妇施行剖腹产,术后发现手套及姆指皮肤均有破伤。该孕妇乙肝指标:HBsAg(反相血凝)滴度1:16、HBeAg(ELISA法)阳性、抗-HBc(ELISA)阳性(滴度1:10000)。HBV-DNA未查。肝功能黄疸指数(Ⅱ)70u,血清胆红质(SB)8mg％、麝香草酚浊度(TTT)
Medical staff may inadvertently inhale serum containing hepatitis B virus (HBV) or needle-stab wounds contaminated with HBV or splashed on broken skin and mucous membranes due to HBV-containing materials during work, infection. Now report 2 cases. First, the object and method 2 cases in 1 case of laboratory personnel, inadvertently inhaled in 1985 with HBsAg, HBeAg, anti-HBc and hepatitis B virus DNA (HBV-DNA) were positive test material. Another obstetrician gave a caesarean section to an acute hepatitis B pregnant woman in 1985 and found that the gloves and thumb’s skin were damaged after the operation. The indicators of hepatitis B in the pregnant women: HBsAg titer 1:16, HBeAg positive (ELISA) and anti-HBc (ELISA positive) (titer 1: 10000). HBV-DNA not checked. Hepatic jaundice index (Ⅱ) 70u, serum bilirubin (SB) 8mg%, thymol turbidity (TTT)