输血前Rh(D)检测及其在输血中的意义  

Detection of Rh(D) before Blood Transfusion and Its Significance

作　　者：李振才[1] 高霞[1] 

机构地区：[1]北京309医院输血科,北京100091

出　　处：《中国实验血液学杂志》2002年第5期466-467,共2页Journal of Experimental Hematology

摘　　要：探讨输血前检测受血者Rh血型的意义及对Rh(D)阴性者能及时输用同型血或采用自体输血的可能性。对近 5年来住院治疗首次申请输血的病人共 2 1 68例 ,在输血前 1天进行Rh(D)血型抗原的检测 ,应用BASO公司生产的IgM抗 -D血清 ,采用试管法进行检测。结果表明 :在 2 1 68例病人中检测出Rh(D)阴性者 7例 ,Rh(D)阴性率占 0 .32 % ,其中 2例采用自体输血 ,2例输用ABO同型的Rh(D)阴性血液 ,3例未输血。结论 :输血前检测Rh(D)血型能防止溶血性输血反应 ;如果病人是Rh(D)阴性 。The significance of detecting the recipient′s Rh D blood type before transfusion and the feasibility of in time transfusion to Rh D negative person with the same ABO type blood or autologous blood were explored. For 2 168 inpatients who applied for transfusion for the first time in the latest five years, Rh D antigen was detected a day before transfusion by test tube method with IgM anti D serum provided by BASO company. The results showed that seven Rh D negative cases were found among 2 168 cases and the Rh D negative rate was 0.32%. Of these seven cases, two were received autologous blood, two were received Rh D negative blood of the same type and the other three were not treated with transfusion. It is concluded that hemolytic reaction of transfusion was prevented by detecting Rh D blood type before transfusion, autologous transfusion may be taken if the patient′s health condition permits.

关 键 词：RH(D)血型 输血 自体输血 试管法 阴性率 溶血性输血反应 

分 类 号：R457.11[医药卫生—治疗学]