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1982年1月至1986年7月,无乙型性肝炎病毒(HBV)既往感染的48名血透工作人员(被刺者)被含 HBsAg 血污染的针或玻璃器皿损伤(针刺暴露),48份污染的血液中,31份来自近期仍为HBeAg 阳性病人(授予者)、另17份来自抗-HBe阳性病人(授予者)。全部被刺者均检测血清 HBV感染标志及 ALT、AST。若出现 IgM 抗-HBc,则诊断为 HBV 感染。被刺者无既往意外接种史,输血史或免疫球蛋白注射史,观察期间无再次针刺暴露。针刺暴露一旦发生立即检测血清 HBsAg 和抗-HBs。若授予者 HBsAg 阳性者,被刺者 HBsAg 和
From January 1982 to July 1986, 48 hemodialysis staff (stabbed) without previous infection with hepatitis B virus (HBV) were damaged (needling exposure) with needles or glassware contaminated with HBsAg, Of the 48 contaminated blood, 31 were from HBeAg-positive patients (grant recipients) recently and the other 17 were from anti-HBe-positive patients (grantors). All stabbed were detected serum HBV infection markers and ALT, AST. In the presence of IgM anti-HBc, HBV infection is diagnosed. Stinger who had no previous history of inoculation, history of transfusion or immunoglobulin injections, no needling exposure during the observation period. Acupuncture exposures were detected immediately in the presence of serum HBsAg and anti-HBs. If the donor is HBsAg positive, stabbed HBsAg and