RhD阴性血液的临床合理应用及效果分析  

The usage and the Result of RhD Blood Use in Clinic al Practice

作　　者：李建斌[1] 张伟[1] 王春艳[1] 冯冬梅[1] 

机构地区：[1]河南省红十字血液中心,河南郑州450053

出　　处：《河南职工医学院学报》2003年第4期39-40,43,共3页Journal of Henan Medical College For Staff and Workers

摘　　要：目的　探讨RhD阴性血液的临床合理应用及效果。方法　随机调查 15 4例RhD阴性血型病人的临床输血治疗过程 ,根据不同输注成分比较其治疗效果。结果　单纯强调红细胞输注有 85例 ( 5 5 %) ,其用血量大且疗效欠佳 ,甚至引起病人死亡 ;合理输注血液及成分血有 6 9例 ( 4 5 %) ,用血量少但疗效佳。结论　在输注RhD阴性血液时 ,首先要了解D抗原在血细胞表面的分布情况及与血细胞的关系。其次 ,治疗过程中红细胞、血小板、新鲜冰冻血浆等成分须合理搭配 ,才能收到最佳治疗效果。Objective To discuss the rational use of RhD(-) blood clinical transfusion. Methods One hundred and fifty-four outpatients who needed RhD(-) transfusion were surveyed randomly and the result of the transfusion of different blood component was analyzed.Results Among those cases we discussed about 55%(85/154) were just given a large amount of RhD(-) RBC,and the result was not ideal.Some of the cases even missed the chance of treatment. Forty-five percent(69/154)were given the RhD(-) red blood cell(RBC) and other blood components,getting excellent results and saving RhD(-) blood.Conclusions In order to get best results,clinical doctors should understand the specificity of RhD antigen spreading on the surface of RBC and consider the rational uses of concentrated red cells(CRCs), concentrated platelets(PCs) and fresh frozen plasma(FFP),etc.

关 键 词：RHD阴性血液 血细胞 治疗 血量 抗原 

分 类 号：R446.11[医药卫生—诊断学]