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論文(リポジトリ)

論文(リポジトリ)
藤田, 康雄 ; 篠永, 真弓 ; 林, 純一 ; 宮村, 治男 ; 金沢, 宏 ; 江口, 昭治
出版情報: 新潟医学会雑誌 — 新潟医学会雑誌.  104  pp.987-991,  1990-12.  新潟医学会
本文リンク: http://hdl.handle.net/10191/35158
概要: In order to investigate the incidence of posttransfusion hepatitis nonAnonB (PTHNANB), 521 patients undergoing cardiovas cular surgery at our department were retrospectively studied. Pediatric patients were divided into 4 groups (ASD group, VSD group, other simple anomaly group, and complex anomaly group), and ASD group received the least blood products (7.75±3.75units/pt.), whereas complex anomaly group received the most (24.6±20.5 units/pt.). The incidence of PTHNANB ranged from 1.1% to 9.3% among the groups, and 3.8% for all the pediatric cases. Adult patients were also divided into 4 groups (ASD group, valvular disease group, ischemic heart disease group, and aortic disease group), and the total volume of blood products administered during the hospital stay ranged from 4.03±7.97 units/pt. (ASD group) to 68.8±77.1 units/pt. (aortic disease group). The incidence of PTHNANB was 16.7% for all adult patients, and the incidence rate went up as the blood products administration per patient increased. Since January 1989, we have started to employ non-blood prime cardiopulmonary bypass and an autotransfusion system whenever it is feasible to save homologous blood transfusion. After then, the incidence of PTHNANB among adult patients decreased from 18.0% to 9.5% in 1989. 続きを見る
2.

論文(リポジトリ)

論文(リポジトリ)
小島, 秀男 ; 大竹, 幸子 ; 富樫, 和枝 ; 石口, 重子 ; 山田, 恵子 ; 品田, 章二
出版情報: 新潟医学会雑誌 — 新潟医学会雑誌.  104  pp.992-998,  1990-12.  新潟医学会
本文リンク: http://hdl.handle.net/10191/35151
概要: Post transfusion Hepatitis (PTH) is one of serious side effects and some times lead to fulminant hepatic failure in case transfused blood contain very low level (under the sensitivity of usual screening method) of hepatitis B virus (HBV). Redcross blood center and blood transfusion devision of our hospital have been employed reverse passive hemmaglutination method (RPHA) for HBsAg screening. Authors employed EIA for sensitive HBsAg test system and compared with RPHA method. Of 2,255 sera from blood bonors, 21 sera showed HBsAg by EIA. Of those 21 HBsAg sera, 4 were negative for HBsAg when tested by RPHA. So about 20% of HBsAg positive sera containing very low level HBV and RPHA could not detect them. For the prevention of post transfusion type B hepatitis, authors changed the HBsAg screening method to EIA. Relationship with so called non-A non-B hepatitis and anti-HCV was investigted. Anti-HCV was detected frequently in patients clinically diagnosed as non-A non-B hepatitis, and correlation of anti-HCV positivity and blood transfusion indicates the importance of the anti-HCV screening in blood transfusion. 続きを見る