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80名血小板抗体初筛阳性患儿的抗体鉴定与分析

王笑欢 付晓艳 刘禹 张帅行 马曙轩

中国输血杂志2024,Vol.37Issue(7):785-789,5.
中国输血杂志2024,Vol.37Issue(7):785-789,5.DOI:10.13303/j.cjbt.issn.1004-549x.2024.07.011

80名血小板抗体初筛阳性患儿的抗体鉴定与分析

Antibody identification and analysis of 80 children with positive platelet antibody in initial screening

王笑欢 1付晓艳 1刘禹 1张帅行 1马曙轩1

作者信息

  • 1. 国家儿童医学中心 首都医科大学附属北京儿童医院,北京 100045
  • 折叠

摘要

Abstract

Objective To explore the distribution and types of platelet antibodies in children with positive platelet anti-body in initial screening.Methods Blood samples of 80 pediatric patients who applied for platelet transfusion in our hospi-tal from September 2021 to May 2022 and tested positive for platelet antibodies were identified using the PAKPLUS kit for antibody identification,and the distribution of HLA and HPA antibodies were analyzed.Results Among the 80 reactive samples in initial screening,9 were negative,71 were positive.Among the 71 positive cases,1 was HLA-Ⅰantibody positive(1.41%,1/71),21 were HPA antibody positive(29.58%,21/71),and 49 were both HLA-Ⅰantibody and HPA antibody positive(69.01%,49/71).Among the70 HPA positive cases,23.95%(17/71)had a single HPA antibody,with18.31%(13/71)of anti GP Ⅱb/Ⅲa,2.82%(2/71)of anti GP Ⅰa/Ⅱa,2.82%(2/71)of anti GP Ⅳ and 0%(0/71)of anti GP Ⅰb/Ⅸ,while74.65%(53/71)presented multiple HPA antibodies.No statistically significant difference was found in antibody distribution among age,gender,transfusion history and disease types.Conclusion HLA-Ⅰ antibody combined with HPA antibody are the main types of platelet antibodies among children with positive platelet antibodies.Anti-GPⅡb/Ⅲa accounted for the largest proportion of HPA antibodies.Antibody distribution is not releted to age,gender,history of blood transfusion and disease types.

关键词

HPA抗体/HLA-Ⅰ类抗体/PAKPLUS试剂盒

Key words

HPA antibody/HLA-Ⅰ antibody/PAKPLUS kit

分类

医药卫生

引用本文复制引用

王笑欢,付晓艳,刘禹,张帅行,马曙轩..80名血小板抗体初筛阳性患儿的抗体鉴定与分析[J].中国输血杂志,2024,37(7):785-789,5.

中国输血杂志

OACSTPCD

1004-549X

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