Rh血型系统抗体在三大血站配血相合率的比较  

Comparison of the Blood-matching Compatibility Rate of Rh Blood Group System Antibody in Three Blood Banks

作　　者：姚润[1] 凌晗 李宁[1] 沈亚梅[1] 李碧娟[1] YAO Run;LING Han;LI Ning(Central South University Xiangya Hospital,Hunan Changsha 410006)

机构地区：[1]湖南省中南大学湘雅医院,长沙410006

出　　处：《临床输血与检验》2018年第6期652-655,共4页Journal of Clinical Transfusion and Laboratory Medicine

摘　　要：目的了解Rh血型系统抗体在长沙、株洲、岳阳三大血站交叉配血的相合率,尽快解决疑难配血问题,及时找到相合的血源。方法回顾性统计310例Rh血型系统抗体的分布和交叉配血情况,采用血清学检测献血者Rh血型抗原。结果 310例Rh血型抗体阳性标本中抗-E166例(53.54%)、抗-D76例(24.52%)、抗-c27例(8.71%)、抗-c E19例(6.13%)、抗-C 14例(4.52%)、抗-Ce 4例(1.29%)、抗-e 4例(1.29%)。A型抗-E、抗-c和抗-cE在长沙血站配血相合率最高,分别为69.06%、57.55%、57.55%;抗-C在岳阳血站的配血相合率最高,为29.05%。B型抗-cE在岳阳血站配血相合率最高,为50.00%。AB型抗-E在长沙血站配血相合率最高,为62.50%。O型抗-E在长沙血站配血相合率最高,为56.79%。结论 A型(抗-E、抗-c、抗-cE)、AB型(抗-E)、O型(抗-E)可优先选择长沙血站配血;A型(抗-C)和B型(抗-cE)可优先选择岳阳血站配血。Objective To understand the cross matching compatibility rate of Rh system antibody in Changsha、Zhuzhou and Yueyang blood bank. To solve the problem of clinical difficulty blood matching as soon as possible and find amatched blood timely. Method 310 cases of the distribution of Rh system antibody were reviewed. The dbata of cross-matchingin 310 cases was analyzed. Serological method used to detect Rh antigen in blood donors. Results 310 cases of Rh antibody distribution were as follows：anti-E 1 6 6 cases （5 3 .5 4%）,anti-D 7 6 cases （2 4 .5 2%）,anti-c 2 7 cases （8 .7 1%）,anti-cE 19 cases （6.13%）,anti-C 14 cases （4.52%）,anti-Ce 4 cases （1.29%）,anti-e 4 cases （1.29%）. In type Ablood,the highest compatibility rates of anti-E（69.06%）,anti-c（57.55%）,and anti-cE（69.06%） were in Changshablood bank,while anti-C（29.05%） was in Yueyang blood bank. In type B blood,the highest compatibility rate of anticE（50.00%） was in Yueyang blood bank. In type AB blood,the highest compatibility rate of anti-E（62.50%） was inChangsha blood bank. In type O blood,the highest compatibility rate of anti-E（56.79%） was in Changsha blood bank.Conclusion The cross matching of anti-E、anti-c and anti-cE in type A blood,anti-E in type AB blood,anti-E in type Oblood was preferred in Changsha blood bank. The cross matching of anti-C in type A blood,anti-cE in type B blood waspreferred in Yueyang blood bank.

关 键 词：RH血型 交叉配血 RH抗原 

分 类 号：R457.11[医药卫生—治疗学]