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现在,成分输血法已在外科各领域得到普及,此方法给过去必须使用新鲜全血的心脏外科手术带来了很大好处。不过,由此也引起了一些副作用,如输血免疫反应和感染等。其中临床上较为突出的问题是术后肝炎普遍增加。作者调查了381例心脏患者术后感染肝炎的情况。具体作法是,在患者入院时至术后一个月以内,每周检查肝功能和HBsAg、抗-HBs 以及抗-HA,在此以后4个月以上每月再检查一次。肝功能的检查项目有GOT、GPT、血清胆红素值、硷性磷酸酶和胶体反
Component-based blood transfusion is now gaining popularity in all areas of surgery and this approach offers great benefits to cardiac surgery that used to require fresh whole blood. However, this also caused some side effects, such as transfusion immune response and infection. One of the more clinically prominent problem is the general increase in postoperative hepatitis. The authors investigated the postoperative infection of hepatitis in 381 cardiac patients. Specifically, liver function and HBsAg, anti-HBs, and anti-HA are checked weekly on admission to within one month after surgery, after which time they are checked monthly for more than 4 months. Liver function tests have GOT, GPT, serum bilirubin value, alkaline phosphatase and colloidal anti