CAJ | 학술논문

目的：全面了解大理州近3年来各医院送检的凝难配血情况。方法：对大理州中心血站2010年至2012年血型参比室处理的凝难配血报告结果作分析。结果：显示送检的26份血样中18份存不规则抗体；而且Rh血型系统不规则抗体检出的比例最高（27.7%）；其余次之。8份为医院检验科或输血科聚凝氨试验法或卡式抗人球蛋白法出现凝集；经本室抗人球蛋白等一系列试验检测；未发现异常。结论：受检测患者中Rh血型系统不规则抗体检出的比例最高（27.7%）；其余次之。此外，医院配血时忽略了抗人球蛋白试验的操作细节，会将非特异性的凝集误判为特异性抗体引起的凝集。
목적：전면료해대리주근3년래각의원송검적응난배혈정황。방법：대대리주중심혈참2010년지2012년혈형삼비실처리적응난배혈보고결과작분석。결과：현시송검적26빈혈양중18빈존불규칙항체；이차Rh혈형계통불규칙항체검출적비례최고（27.7%）；기여차지。8빈위의원검험과혹수혈과취응안시험법혹잡식항인구단백법출현응집；경본실항인구단백등일계렬시험검측；미발현이상。결론：수검측환자중Rh혈형계통불규칙항체검출적비례최고（27.7%）；기여차지。차외，의원배혈시홀략료항인구단백시험적조작세절，회장비특이성적응집오판위특이성항체인기적응집。
Objective: To comprehensively study the difficult blood-matching sample which was sent from hospitals in Dali area within the past 3 years. Methods: The results of difficult cross matching in Dali Blood Donor Center from 2010 to 2012 were conducted retrospective analysis. Results: There were irregular antibodies in 18 of 26 samples and the highest rate (27.7%)in Rh blood group system. Though reported agglutination tested by coagulation ammonia test method or cassette antiglobulin test, 8 samples were found no abnormality through investigation by antihuman globulin test in our institution. Conclusion: There was a higher rate of irregular antibodies in Rh blood group system. Antihuman globulin test should not be ignored which could lead misunderstanding of agglutination.