溶血危象并输血困难1例  

A case of hemolytic crisis with difficult in blood transfusion

作　　者：杨菁菁[1] 张鹏[1] 雒红玉 YANG Jingjing;ZHANG Peng;LUO Hongyu

机构地区：[1]绵阳市第三人民医院·四川省精神卫生中心输血科,四川绵阳621000

出　　处：《临床血液学杂志》2021年第12期887-889,共3页Journal of Clinical Hematology

摘　　要：溶血危象患者多表现为在数小时至数天内发生的血红蛋白明显下降,疾病的发生、发展非常急骤,严重者可发生弥散性血管内凝血(DIC)合并多器官损伤,对患者生命造成威胁。本文报道1例发生溶血危象并输血困难的患者,通过稀释法鉴定不规则抗体筛查,选择ABO和Rh分型一致的去白细胞悬浮红细胞联合血浆置换治疗的病例。1 资料与方法1.1 资料患者,女,36岁,入院前3 d无明显诱因出现头痛,无喷嚏流涕、咳嗽咳痰、腹痛腹泻、尿频尿痛及腰痛等。In patients with hemolytic crisis, the hemoglobin is often significantly reduced within a few hours to a few days, and the development of the disease is very rapid.In severe cases, disseminated intravascular coagulation(DIC) combined with multiple organ damage may threaten the lives of patients.This article reports a case of a patient with hemolytic crisis and difficulty in blood transfusion.The dilution method was used to identify irregular antibody screening and selected leukocyte-removed suspended red blood cells with consistent ABO and Rh group combined with plasma exchange therapy.

关 键 词：溶血危象 输血治疗方案 

分 类 号：R457.1[医药卫生—治疗学]