17例自身免疫性溶血性贫血血型鉴定和交叉配血的临床分析  

Clinical Analysis of 17 Cases of Autoimmune Hemolytic Anemia Blood Type Identification and Cross Matching

作　　者：林淼雄 彭明[1] 吴为强[1] 杜国有[1] 李莹莹[1] LIN Miaoxiong;PENG Ming;WU Weiqiang(Zhongshan Traditional Chinese Medicine Hospital,Zhongshan 528400,China)

机构地区：[1]广东省中山市中医院,广东中山528400

出　　处：《中国医学创新》2018年第28期37-41,共5页Medical Innovation of China

摘　　要：目的:探讨自身免疫性溶血性贫血(AIHA)患者输血前检查的干扰因素与解决方法,及时为AIHA患者提供安全、可靠的血液。方法:选取本院2015年1月-2017年12月收治的17例AIHA患者为研究对象,分别进行ABO/RhD血型鉴定和交叉配血实验,对出现ABO正反定型不一致和交叉配血不相合的患者进行吸收放散等方法处理。结果:17例AIHA患者中7例出现ABO血型正反不符,经吸收放散等方法处理后恢复一致;10例出现交叉配血不合,其中9例患者成功找到相合血液,1例失败。结论:运用吸收放散等方法能有效降低自身抗体对AIHA患者血型鉴定和交叉配血的干扰,提高血型鉴定和交叉配血的准确性。Objective:To explore the interference factors and solutions of patients with autoimmune hemolytic anemia(AIHA)before blood transfusion,and provide safe and reliable blood for AIHA patients in time.Method:A total of 17 patients with AIHA in our hospital from January 2015 to December 2017 were selected as the research subjects.They were studied and conducted ABO/RhD blood grouping and cross matching tests respectively.Patients with inconsistent positive and negative ABO typing and inconsistent cross matching were treated by absorption and emission experiment.Result:Among 17 patients with AIHA,7 cases of ABO blood group appeared positive or negative,and recovered by absorption and dispersion.10 cases of incompatibility of cross matching,9 cases of them successfully found matching blood,1 case failed.Conclusion:Absorption and emission and other methods can effectively reduce the interference of autoantibodies on AIHA blood group identification and cross matching,and improve the accuracy of blood group identification and cross matching.

关 键 词：自身免疫性溶血性贫血 吸收放散实验 血型鉴定 交叉配血 

分 类 号：R556.62[医药卫生—血液循环系统疾病]