• 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 ›› 2018, Vol. 20 ›› Issue (6): 646-648.DOI: 10.3969/j.issn.1671-2587.2018.06.029

• 血型与临床 • 上一篇    下一篇

Rh血型抗-G抗体的综合鉴定方法的建立及初步应用

沈茜, 唐志家, 林成, 汪伟, 陈虎诚   

  1. 244000 安徽省铜陵市中医院检验科
  • 收稿日期:2018-06-11 出版日期:2018-12-20 发布日期:2018-11-12
  • 作者简介:沈茜(1990-),女,安徽铜陵人,检验师,本科,主要从事输血检验研究,(Tel)18956272752。

A Method for Detection of Anti-G Antibodies and Its Primary Application

SHEN Qian, TANG Zhi-jia, LIN Cheng, et al   

  1. Department of Laboratory Medicine,Tongling Hospital of Chinese Medicine,Anhui 244000
  • Received:2018-06-11 Online:2018-12-20 Published:2018-11-12
  • Contact: 陈虎诚,男,主要从事医学检验方向研究,(Tel)13952008462。

摘要: 目的 建立Rh血型抗-G抗体的鉴定方法,并初步应用于含有抗-D和抗-C抗体的Rh阴性人员的抗-G抗体分析。方法 首先采用卡式法初筛Rh血型,并通过间接抗人球蛋白试验确认Rh血型,其中抗体筛查检测血清中不规则抗体,谱细胞分析法确定抗体特异性,最后采用吸收放散试验对获得阳性抗体进行验证和鉴别。结果 经多次吸收和放散法分析,可有效鉴别抗-G抗体。采用该法鉴定临床一例患者,其血型为AB型Rh阴性(ccdee),血清中不规则抗体可以与AB型RhD阳性红细胞凝集,也能凝集AB型RhD阴性含有C抗原的红细胞,经特异性吸收放散试验后发现该患者血清中不规则抗体为Ig-G抗-D和抗-G。结论 多次吸收和细胞放散实验是在缺少稀有、特异性红细胞时,鉴定抗-G抗体的简便实用方法。

关键词: Rh阴性, 不规则抗体, 抗-G抗体, 抗-D抗体

Abstract: Objective To set up a method for detection of anti-G for Rh blood grouping and to analyze the anti-G in the Rh negative individuals with anti-D and anti-C. Methods The Rh D was tested by the gel column method. The Rh D(-)was confirmed by indirect anti-globulin tests with three different antibodies. The irregular antibodies in the sera of patients were screened and identified by cell screening panel. The adsorption-elution studies were performed to examine the specificity of the antibodies. Results The blood group of the patients was AB Rh D(-)(ccdee).The serum detections showed agglutination reactions with AB Rh D(+)red blood cells (RBCs). The reactivity was also seen with AB Rh D(-)RBCs with C antigen. The antibodies were demonstrated to be anti-D and anti-G after differential adsorption-elution experiments. Conclusion The anti-G is associated with hemolytic diseases such as transfusion reactions of newborns. The adsorption-elution assay is simple and practical,particularly for identification of anti-G if the specific RBCs are unavailable.

Key words: Rh negative, Irregular antibody, Anti-G, Anti-D

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