检验医学与临床
檢驗醫學與臨床
검험의학여림상
JOURNAL OF LABORATORY MEDICINE AND CLINICAL SCIENCES
2014年
13期
1747-1749
,共3页
抗球蛋白试验%疑难配血%不规则抗体
抗毬蛋白試驗%疑難配血%不規則抗體
항구단백시험%의난배혈%불규칙항체
antiglobulin test%difficult crossmatch%irregular antibody
通过对患者输血前血样进行抗球蛋白试验检查,查找导致临床患者配血不合的原因,配合性输注,确保临床输血安全。方法通过不规则抗体筛选试验,检测患者血清中抗体性质。结果61例交叉配血不合患者抗球蛋白试验结果显示,由温、冷性自身免疫性抗体及冷凝集素影响配血不合30例;ABO血型系统以外不规则抗体同种免疫性抗体31例,由Rh血型系统同种免疫性抗体导致配血不合占大多数,其中与抗-E抗体有关的患者17例,占由同种免疫性抗体引起配血不合的54.84%。结论患者体内产生的ABO血型系统以外不规则同种免疫性抗体或者温、冷性自身免疫性抗体及冷凝集素等几种因素的影响,是造成临床交叉配血不合的主要原因,Rh血型抗原的复杂性和多态性应引起临床的重视,Rh血型同型输注可降低输血不良反应的发生率。
通過對患者輸血前血樣進行抗毬蛋白試驗檢查,查找導緻臨床患者配血不閤的原因,配閤性輸註,確保臨床輸血安全。方法通過不規則抗體篩選試驗,檢測患者血清中抗體性質。結果61例交扠配血不閤患者抗毬蛋白試驗結果顯示,由溫、冷性自身免疫性抗體及冷凝集素影響配血不閤30例;ABO血型繫統以外不規則抗體同種免疫性抗體31例,由Rh血型繫統同種免疫性抗體導緻配血不閤佔大多數,其中與抗-E抗體有關的患者17例,佔由同種免疫性抗體引起配血不閤的54.84%。結論患者體內產生的ABO血型繫統以外不規則同種免疫性抗體或者溫、冷性自身免疫性抗體及冷凝集素等幾種因素的影響,是造成臨床交扠配血不閤的主要原因,Rh血型抗原的複雜性和多態性應引起臨床的重視,Rh血型同型輸註可降低輸血不良反應的髮生率。
통과대환자수혈전혈양진행항구단백시험검사,사조도치림상환자배혈불합적원인,배합성수주,학보림상수혈안전。방법통과불규칙항체사선시험,검측환자혈청중항체성질。결과61례교차배혈불합환자항구단백시험결과현시,유온、랭성자신면역성항체급냉응집소영향배혈불합30례;ABO혈형계통이외불규칙항체동충면역성항체31례,유Rh혈형계통동충면역성항체도치배혈불합점대다수,기중여항-E항체유관적환자17례,점유동충면역성항체인기배혈불합적54.84%。결론환자체내산생적ABO혈형계통이외불규칙동충면역성항체혹자온、랭성자신면역성항체급냉응집소등궤충인소적영향,시조성림상교차배혈불합적주요원인,Rh혈형항원적복잡성화다태성응인기림상적중시,Rh혈형동형수주가강저수혈불량반응적발생솔。
Objective To analyze the importance of antiglobulin test in clinical difficult crossmatch .Methods Red blood cell antibodies were screened by antibody screening test in patients before transfusion .Results The results of the antiglobulin test showed that ,among 61 cases with incompatible blood crossmatch ,30 cases were caused by the presence of IgM cold agglutinin and/or the IgG warm autoantibodies ,and 31 cases were caused by the presence of ir‐regular alloimmune antibodies ,most of which were alloimmune antibodies of Rh blood group system ,of which 17 ca‐ses (54 .84% ) were associated with crossmatching incompatibility caused by anti‐E antibody .Conclusion Incompati‐ble blood crossmatch could be caused by factors ,such as irregular alloimmune antibodies ,could or warm autoantibod‐ies ,cold agglutinin and so on .The complexity and polymorphism of Rh blood group antigens should be paid for more attention .Transfusion of same blood type of Rh blood group could reduce the adverse transfusion reaction .