• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2016, Vol. 18 ›› Issue (6): 597-601.DOI: 10.3969/j.issn.1671-2587.2016.06.028

• 急救输血 • 上一篇    下一篇

Rh(D)阴性患者紧急抢救输血中应用“配合型输血”的回顾性分析

梁静,杨丽萍,刘雯,刘景汉,兰炯采   

  1. 830002 新疆医科大学第六附属医院(梁静,刘雯); 新疆阿克苏地区第一人民医院(杨丽萍); 解放军总医院(刘景汉); 南方医科大学南方医院(兰炯采)
  • 收稿日期:2016-08-15 出版日期:2016-12-20 发布日期:2016-12-23
  • 通讯作者: 刘景汉(1942-),主要从事临床输血研究,(Tel)010-66939934(E-mail)sxfh2010@163.com;兰炯采(1945-),主要从事免疫血液学研究,(Tel)0379-62319526(E-mail)gzlanjc@hotmail.com。
  • 作者简介:梁静(1970-),女,安徽萧县人,副主任医师,本科,主要从事输血相容性实验研究和临床输血管理工作,(Tel)13899930617。

The Retrospective Analysis of Rh (D) Negative Patients with Special Circumstances of Emergency Rescue Transfusion Application of "Matching Blood Transfusion"

LIANG Jing, YANG Li-ping, LIU Wen, et al   

  1. The Sixth Subsidiary Hospital of Xingjiang Medical University830002
  • Received:2016-08-15 Online:2016-12-20 Published:2016-12-23

摘要: 目的回顾性分析Rh(D)阴性患者特殊情况紧急抢救输血应用“配合型输血”的病例资料,探讨应用配合型输血的安全性和有效性。方法对新疆阿克苏地区2014年1月~2015年12月Rh(D)阴性患者特殊情况紧急抢救输血6例应用“配合型输血”(病例组)及6例应用同型输血(对照组)的基本资料、红细胞抗体筛查、胆红素、血红蛋白(Hb)、网织红细胞计数(Ret)、红细胞比容(Hct)及住院天数(d)等进行统计分析,探讨配合型输血安全性与有效性。结果病例组与对照组输血后72 h红细胞抗体筛查阴性均未产生抗-D、输血后24 h Hb实际升高值分别为(28.53±10.09)g/L和(21.24±3.13)g/L、无非传染性输血并发症发生,病例组与对照组输血前后各指标的差异无统计学意义。结论Rh(D)阴性患者特殊情况紧急抢救输血应用“配合型输血”是一种安全有效的临床输血治疗途径,同时对输注Rh(D)阳性红细胞的患者也应建立的规范的追踪、随访及评价体系。

关键词: Rh(D)阴性, 特殊情况, 紧急抢救, 配合型输血

Abstract: ObjectiveBy the retrospective analysis of Rh (D) negative patients with special circumstances of emergency rescue transfusion application of "matching blood transfusion" case data,to explore the application of the safety and effectiveness of combined transfusion. MethodCompared the effectiveness of 6 matched blood transfusion(case group) and 6 with same type blood transfusion (control group)in Xinjiang' aksu area from January 2014 to December 2015,to explore matched blood transfusion's safety and effectiveness. The effectiveness indexes include patients basic information,red cell antibody screening,total bilirubin(TBIL),concentration of hemoglobin(Hb),reticulocyte count(Ret),hematocrit(Hct)and hospitalization days. ResultsThe patients in cases group and control group after blood transfusion 72 h red cell antibody screening was negative and did not produce anti-D,Hb after blood transfusion 24 h was actually appreciated in 28.53±10.09 g/L and 21.24±3.13 g/L,there was no significant difference compared with the experimental data of control group and case group by T text. ConclusionThe matched blood transfusion of Rh(D)-negative matched blood transfusion with special circumstances of emergency rescue transfusion have the same effectiveness and safety,at the same time,the matched blood transfusion of the Rh(D)positive red blood cells of patients should also be established to standardize the trace,follow-up and evaluation system.

Key words: Rh(D), negative, Special, circumstances, Emergency, rescue, Matched, blood, transfusion

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