• 中国科学论文统计源期刊
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  • 日本科学技术振兴机构数据库(JST)
临床输血与检验

临床输血与检验 ›› 2017, Vol. 19 ›› Issue (2): 107-110.DOI: 10.3969/j.issn.1671-2587.2017.02.002

• 临床输血 • 上一篇    下一篇

紧急情况红细胞ABO不同型输注及效果分析*

马会敏, 燕备战, 刘景汉, 兰炯采   

  1. 450003 郑州,河南省人民医院输血科（马会敏,燕备战）; 北京解放军总医院输血科（刘景汉）
  • 收稿日期:2016-12-07 出版日期:2017-04-20 发布日期:2017-04-24
  • 作者简介:马会敏（1981-）,女,河南长葛人,主管技师,硕士,主要从事临床输血工作,（Tel）18539430979。
  • 基金资助:
    *本课题受河南省重点科技攻关计划项目（No.142102310126）资助

Effect of RBC Transfusion of Different ABO Blood Types

MA Hui-min, YAN Bei-zhan, LIU Jing-han, et al   

  1. Henan Provincial Hospital 450003
  • Received:2016-12-07 Online:2017-04-20 Published:2017-04-24

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摘要： 目的 分析本院临床红细胞紧急不同型输注情况及输血效果,进而分析《特殊情况紧急抢救输血推荐方案》对紧急输血的适用性。方法 回顾分析近一年半住院患者不同型输注红细胞的病例,并与同类疾病进行同型输注效果的比较。结果 符合纳入标准的有自身免疫性溶血性贫血患者36例共52次输血、急性白血病致抗原减弱7例共12次输血。自身免疫性溶血性贫血患者输注同型悬浮红细胞、同型洗涤红细胞或O型洗涤红细胞输血效果的差异无统计学意义,急性白血病致抗原减弱血型正反定型不一致患者输注同型悬浮红细胞或O型洗涤红细胞输血效果的差异也无统计学意义。结论 自身免疫性溶血性贫血患者紧急输血时输注同型悬浮红细胞即可,血液病抗原减弱正反定型不一致患者紧急输血时可先输多联袋O型洗涤红细胞,血型确定后应输注同型悬浮红细胞。从本院紧急不同型输血情况来看,《特殊情况紧急抢救输血推荐方案》对于紧急情况下安全用血具有指导意义,但细节有待完善。

关键词: 多联袋, O型洗涤红细胞, 自身免疫性溶血, 紧急输血

Abstract: Objective To analyze the effect of RBC transfusion of different ABO types,and the practicability of “Recommended Program of Emergent Blood Transfusion”.Methods A retrospective study of RBC transfusions of different blood typesinpatients was performed and compared with the patients with the same blood type RBC transfusions.Results The samples included 32 cases of autoimmune hemolytic anemia(AHA) with 52 transfusions and 7 cases of leukemia with 12 transfusions. No significant difference was noted among the patients with AHA who received same type suspended or washedRBCs,or O type washed RBCs.Conclusion The same type suspended RBCs may be used at emergency for patients with autoimmune hemolytic anemia whereas O type washed RBCs are recommended primarily for those with leukemia. For the patients whose blood type has been identified,suspended RBCs of the same type blood may be used for transfusion.“Recommended Program of Emergent Blood Transfusion” is instructive although it remains to be improved.

Key words: Multybage, O type washed RBC, Autoimmune hemolysis, Transfusion in emergency

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