• 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 (4): 389-393.DOI: 10.3969/j.issn.1671-2587.2016.04.029

• 质量控制 • 上一篇    下一篇

输血相容性检测室内质控品自制及应用探讨

汪维   

  1. 237006 安徽省六安市中医院输血科
  • 收稿日期:2016-01-11 出版日期:2016-08-20 发布日期:2016-08-26
  • 作者简介:汪维(1980-),男,安徽舒城人,主管技师,学士,主要从事输血免疫学检验和输血管理工作,(Tel)13966268835(E-mail)36064178@qq.com。

Evaluation of Self-made Internal Quality-control Reagent and Its Laboratory Application

WANG Wei   

  1. Lu’an Hospital of Traditional Chinese Medicine,Lu’an 237006
  • Received:2016-01-11 Online:2016-08-20 Published:2016-08-26

摘要: 目的利用输血科现有血液样本资源自制室内质控品,监测输血相容性检测结果的准确度,完善输血相容性检测的室内质量控制体系。方法选取A、B、O、AB型血液样本各10份,同型混合后离心,分离血浆备用;压积红细胞用生理盐水洗涤后与CPDA保养液等量混合备用;选取ABO同型Rh(D)阴性血液样本1~2份,经确认后,与CPDA保养液等量混合备用;IgG抗-D血清采用商品化试剂。各型血液的红细胞和血浆按照标准操作规程进行血清学验证试验,符合血清学反应格局,且质控红细胞与标准血清凝集强度达4+、质控血浆与相应红细胞凝集强度为2+,方作为室内质控品使用。结果通过本实验室的长期实践和完善,证实该法自制可满足输血相容性检测对室内质控品的要求,所制备质控品能满足4~6周使用。结论输血相容性检测实验室可充分利用血液样本的资源优势,通过科学严谨的设计方法制备合格的室内质控品,且制备原料来源稳定、经济可行,适宜各实验室选择开展。

关键词: 室内质量控制, 输血相容性检测, 血清学反应

Abstract: ObjectiveTo produce self-made internal quality-control products, and to monitor the accuracy of blood transfusion and improve indoor quality control system of the blood compatibility test. MethodsBlood samples of A, B, O, and AB types were collected, 10 cases for each type. Blood with same type was mixed and plasma was separated by centrifuge. Packed red blood cells were washed with normal saline to remove blood clots and aged RBC fragments, then mixed with equivalent CPDA maintenance liquid as RBC quality product. Rh(d) blood sample were selected, mixed with equivalent CPDA maintenance liquid as Rh(d) RBC quality product. Anti-RhD IgG was obtained commercially. Validation tests of the quality products were performed in accordance with standard operating procedures The agglutination intensity of RBC quality product with standard serum was 4+, and the agglutination intensity of quality serological with standard RBC was 2+, before used as internal quality control products. ResultsThe self-made quality products may efficiently meet the requirements of blood compatibility testing, and the products can be used for 4-6 weeks. ConclusionBlood compatibility testing laboratory can make full use of resource advantage of blood sample, by producing qualified internal quality-control products which is stable and economic.

Key words: Internal, quality, control, Transfusion, compatibility, testing, Serological, reactions

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