国际检验医学杂志
國際檢驗醫學雜誌
국제검험의학잡지
International Journal of Laboratory Medicine
2015年
20期
2975-2976
,共2页
封彦楠%李明伟%陈麟凤%汪德清
封彥楠%李明偉%陳麟鳳%汪德清
봉언남%리명위%진린봉%왕덕청
冷-热自身抗体%正反定型%配血不合%输血
冷-熱自身抗體%正反定型%配血不閤%輸血
랭-열자신항체%정반정형%배혈불합%수혈
cold and warm auto-antibody%form-reverse blood type%incompatible%blood transfusion
目的:分析含有冷‐热自身抗体的自身免疫性溶血性贫血(AIHA)患儿的血清学特点,进行血型鉴定及交叉配血。方法将3人份O型红细胞吸收患儿血清中的自身抗体(采用冷吸收的方法);2‐硫基乙醇(2‐M e )破坏 Ig M 抗体。结果此例AIHA患儿血型为B+,含冷‐热自身抗体,配血不相合。结论患儿冷‐热自身抗体同时存在,干扰血型鉴定、影响交叉配血。紧急情况时,结合患儿病情,输血与药物联合应用,可获得良好效果。
目的:分析含有冷‐熱自身抗體的自身免疫性溶血性貧血(AIHA)患兒的血清學特點,進行血型鑒定及交扠配血。方法將3人份O型紅細胞吸收患兒血清中的自身抗體(採用冷吸收的方法);2‐硫基乙醇(2‐M e )破壞 Ig M 抗體。結果此例AIHA患兒血型為B+,含冷‐熱自身抗體,配血不相閤。結論患兒冷‐熱自身抗體同時存在,榦擾血型鑒定、影響交扠配血。緊急情況時,結閤患兒病情,輸血與藥物聯閤應用,可穫得良好效果。
목적:분석함유랭‐열자신항체적자신면역성용혈성빈혈(AIHA)환인적혈청학특점,진행혈형감정급교차배혈。방법장3인빈O형홍세포흡수환인혈청중적자신항체(채용랭흡수적방법);2‐류기을순(2‐M e )파배 Ig M 항체。결과차례AIHA환인혈형위B+,함랭‐열자신항체,배혈불상합。결론환인랭‐열자신항체동시존재,간우혈형감정、영향교차배혈。긴급정황시,결합환인병정,수혈여약물연합응용,가획득량호효과。
Objective Serological characteristic analysis for patients with autoimmune hemolytic anemia(AIHA)who has cold and warm auto‐antibody when undergoing blood type and cross‐matching .Methods Choosed 3 donors of red blood cells of group O to absorb autoantibodies of the patient′s serum(by using the methods of cold absorption) and used 2‐mercaptoethanol(2‐Me) to de‐stroyed the IgM antibody .Results The patient of AIHA blood type was B+ .There was cold and warm auto‐antibody in the pa‐tient′s serum ,and the result of cross‐matching is incompatible .Conclusion The patient′s serum contains cold and warm auto‐anti‐body which interferes blood type and cross‐matching .In emergency ,considering the patients condition ,blood transfusion combined with the drug treatment could achieve good effects .