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在需要手术治疗的外科病人中,常有HBsAg(乙型肝炎表面抗原)阳性者。对这类病人的传染性,外科医务人员多应警惕。我院1992～1994年2532例普外科择期手术病人中,有HBsAg阳性者183例。本文就其手术指征及预防措施分析讨论如下。 1 临床资料本组男1487例,女1045例。年龄12～87岁,平均51.5岁。HBsAg阳性183例,占总数的7.3%。其中胆囊结石1239例,HBsAg阳性54例,占胆囊结石病人的4.3%;胃肠道疾病699例,HBsAg阳性45例,占该疾病的6.9%;甲状腺手术270例。HBsAg阳性36例,占该病的13.3%;乳癌手术168例,HBsAg阳性9例,占该病的5.3%;肝癌66例,HBsAg阳性18
Surgical patients in need of surgery, often HBsAg (hepatitis B surface antigen) positive. Infectious and surgical staff should be wary of such patients. Our hospital from 1992 to 1994, 2532 cases of general surgery elective surgery patients, there are 183 cases of HBsAg positive. This article on the surgical indications and preventive measures are discussed below. 1 Clinical data The group of 1487 males and 1045 females. Aged 12 to 87 years old, with an average of 51.5 years old. 183 cases of HBsAg positive, accounting for 7.3% of the total. Including gallstone 1239 cases, 54 cases of HBsAg positive, accounting for 4.3% of gallstone patients; 699 cases of gastrointestinal diseases, HBsAg positive in 45 cases, accounting for 6.9% of the disease; 270 cases of thyroid surgery. HBsAg positive in 36 cases, accounting for 13.3% of the disease; 168 cases of breast cancer surgery, HBsAg-positive in 9 cases, accounting for 5.3% of the disease; liver cancer in 66 cases, HBsAg positive 18