诊断学理论与实践2017，Vol.16Issue(3)：297-300,4.DOI:10.16150/j.1671-2870.2017.03.013
ABO血型正反不符原因分析及输血策略
A study of cases with ABO typing discrepancy and the strategy of blood transfusion
王钰箐 1蔡晓红 1龚淞颂 1王学锋 1邹纬1
作者信息
- 1. 上海交通大学医学院附属瑞金医院临床输血科,上海 200025
- 折叠
摘要
Abstract
Objective: To analyze the cause of ABO typing discrepancy and to explore the strategy of blood transfusion. Methods: ABO blood group was identified by serological method, and the cases with ABO typing discrepancy were confirmed by molecular biological method. Results: Seventy-four cases of ABO typing discrepancy were detected in 84487 cases, the discrepancy rate was 0.09%. Removing repeated cases, there were 67 cases: red blood cell antigen weakened 43 cases, blood group antibody weakened 9 cases, both antigen and antibody weakened 2 cases, subtypes 12 cases, others 1 case. In 36 hospitalized patients of ABO typing discrepancy, 25 cases received blood transfusion, and 22 were patients with hematological disorder. Excluding subtype cases, analysis of the effect of blood transfusion between 15 cases of same ABO genotype RBC and 5 cases of O blood type washed RBC showed no significant difference (P=0.225>0.05). Conclusions: The largest number of ABO typing discrepancy are patients with hematological disorders. Compatible ABO or same gene type RBC should be used in clinical blood transfusion. Both serological and molecular biological methods should be taken into account.关键词
ABO血型/血型鉴定/输血Key words
ABO blood type/Blood type identification/Transfusion分类
医药卫生引用本文复制引用
王钰箐,蔡晓红,龚淞颂,王学锋,邹纬..ABO血型正反不符原因分析及输血策略[J].诊断学理论与实践,2017,16(3):297-300,4.
