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目的：分析患者输血前五项的检测结果，了解患者在输血前是否已感染此类传染性疾病，并探讨输血前五项检测重要意义。方法2785例患者输血前检测：采用ELISA方法检测乙型肝炎病毒表面抗原（HBsAg）及丙型肝炎病毒抗体（抗-HCV）；采用快速免疫胶体金试条及ELISA方法检测抗人类免疫缺陷病毒（抗-HIV1/2）；梅毒（TP）检测由梅毒快速血浆反应素（RPR）及梅毒螺旋体抗体（TPPA）联合检测；丙氨酸氨基转移酶（ALT）用速率法检测。结果HBsAg阳性295例，占10.6%；抗-HCV阳性27例，占1.0%；抗-HIV1/2阳性3例，占0.1%；梅毒螺旋体抗体（TPPA）单项阳性为30人，占1.1%；ALT>40共328人，占11.8%。结论患者输血前五项的检测，对了解患者输血前的感染状况，加强医务人员的自我保护意识，预防和减少因输血引起的医疗纠纷具有重要意义。“,”Objective To analyze the results of parameters of five infectious diseases before transfusion, learn whether the patient has been infected before transfusion and explore the significance of the detection of five infectious diseases before transfusion. Methods 2785 patients were enrol ed before transfusion. The ELISA was employed to measure the levels of hepatitis B virus surface antigen (HBsAg) and antibodies to hepatitis C virus (anti-HCV). The level of anti-human immunodeficiency virus (anti-HIV1/2) was measured by rapid immune col oidal gold test strip and ELISA method. The antibody to pal idum was used with regain diagnostic tests (RPR) and Serodia Treponema pal idum particle agglutination (TP-PA). The rate method was used to detect level of alanine aminotransferase (ALT). Results There were 295 patients of HBsAg positive (1.06%), 27 of anti-HCV positive (1.0%), 3 of anti-HIV1/2 positive (0.1%) and 30 of TP-PA positive (1.1%). The ALT of 328 patients was above 40, accounting for 11.8%. Conclusions The detection of five infectious diseases before transfusion can help learn the infection status before transfusion and strengthen the awareness of self-protection of medical personnel with the benefits of preventing and reducing medical disputes.