• 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 ›› 2017, Vol. 19 ›› Issue (2): 176-178.DOI: 10.3969/j.issn.1671-2587.2017.02.024

• 血型与临床 • 上一篇    下一篇

36例不规则抗体致新生儿溶血病分析

洪毅   

  1. 710075 陕西省西安高新医院输血科
  • 收稿日期:2016-09-15 出版日期:2017-04-20 发布日期:2017-04-24
  • 作者简介:洪毅(1975-),男,主管技师,学士,主要从事输血管理及研究工作,(E-mail)1967113703@qq.com。

Analysis of 36 Cases of Neonatal Hemolytic Disease Caused by Iregular Antibodies

HONG Yi   

  1. Department of Blood Transfusion,Xi'an High Tech Hospital,Xi'an 710075
  • Received:2016-09-15 Online:2017-04-20 Published:2017-04-24

摘要: 目的 对引起非ABO新生儿溶血病的不规则抗体进行分析,并探讨其临床诊疗意义。方法 收集2010~2015年新生儿溶血病检测的相关实验样本,采用凝胶卡式抗球蛋白法筛查不规则抗体,Liss-IAT(低离子液间接抗球蛋白法)试管法鉴定不规则抗体;分析不规则抗体的种类和相关临床资料。结果 2 311例新生儿溶血病检测实验样本中,检出不规则抗体致新生儿溶血病36例,其中28例不规则抗体为Rh血型系统的不规则抗体,3例为Lewis血型系统,4例为Kidd血型系统,1例为Diego血型系统。Rh血型系统的不规则抗体中,2例抗-D,占7.1%(2/28);8例抗-E,占28.6%(8/28);11例抗-cE,占39.3%(11/28);2例抗-C,占7.1%(2/28);5例抗-Ce,占17.9%(5/28);36例新生儿溶血病例中,有26例进行了换血治疗。结论 不规则抗体易致严重的新生儿溶血病,在检测中应采用敏感的方法,避免漏检。

关键词: 新生儿溶血病, 不规则抗体, 换血治疗

Abstract: Objective To the cause of non ABO hemolytic disease of the newborn,irregular antibodies were analysis and research,and to explore its clinical significance. Experimental sample detection method in 2010 and 2015 in hemolytic disease of the newborn,the gel cassette anti ball protein in irregular antibodies screening,Liss-IAT tube method for the identification of irregular antibody; types of irregular antibodies and related clinical data analysis. The results 2311cases of hemolytic disease of the newborn detection in experimental sample,caused by irregular antibodies hemolytic disease of the newborn (HDN) 36 cases were identified,which 28 cases of irregular antibodies for irregular antibodies of Rh blood group system,3 cases as Lewis blood group System,4 cases for Kidd blood group system,1 case for Diego blood group system. In the irregular antibodies of Rh blood group system,2 cases of anti-D,7.1% (2/28); 8 cases for anti-e,accounting for 28.6% (8/28); 11 cases anti -cE accounted for 39.3% (11/28); 2 cases anti-C,accounting for 7.1% (2/28); 5 cases anti CE,accounting for 17.9% (5/28); 36 cases of hemolytic disease of the newborn cases,26 cases of exchange transfusion in the treatment of.Conclusion the irregular antibody prone to cause severe hemolytic disease of the newborn and in detection should be the sensitive method,avoid To avoid missed and misdiagnosis.

Key words: Hemolytic disease of the newborn Irregular antibody, Transfusion therapy

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