中国药业2017,Vol.26Issue(1):57-58,2.DOI:10.3969/j.issn.1006-4931.2017.01.018
1例Rh(D)阴性患者输血引发迟发性输血反应原因探讨
Analysis of Late-onset Blood Transfusion Reaction Caused by Transfusing Wrong Blood in 1 Case of Rh (D) Negative Patient
王振芳 1袁青柳 1王帅 1王亚 1闫有敏 1胡佳丽 1刘洋 1杨连莲 1尹虎 1蔡金生1
作者信息
- 1. 冀中能源邢台矿业集团有限责任公司总医院,河北 邢台 054000
- 折叠
摘要
Abstract
Objective To investigate the cause of late-onset blood transfusion reaction caused by false transfusion of Rh ( D ) positive blood in 1 case of Rh ( D ) -negative patient to protect the safe and effective blood transfusion. Methods 1 case of 76-year-old Rh ( D ) -positive female with cholecystitis was misdiagnosed before operation. 4 U of Rh-D-positive suspension red blood cells was mistakenly transfused during the operation, causing the late-onset blood transfusion reaction. Blood sample identification, anti-screening test and cross-matching blood test were carried out by using microcolumn gel-card method. Results The blood type of the patients was B, Rh ( D ) negative. The result of antibody screening and cross matching was negative. The cause of the error was that the first identification method was insensitive, misstatement and malpractice of the medical staff. Conclusion Through case analysis, we should raise our awareness so that clinical transfusion can truly be safe and effective.关键词
Rh血型系统/Rh(D)阴性/安全输血/分析Key words
Rh blood group system/Rh ( D ) -negative/safe blood transfusion/analysis分类
医药卫生引用本文复制引用
王振芳,袁青柳,王帅,王亚,闫有敏,胡佳丽,刘洋,杨连莲,尹虎,蔡金生..1例Rh(D)阴性患者输血引发迟发性输血反应原因探讨[J].中国药业,2017,26(1):57-58,2.