手术患者术前不规则抗体筛检和血型复检的意义

Significance of preoperative screen of irregular antibodies and re-examinations of blood type

目的探讨术前不规则抗体筛检和血型复检的临床意义。方法利用微柱凝胶技术对需要备血的手术患者提前进行血型复检和不规则抗体筛检及鉴定。结果 4 021例患者中,共检出ABO血型不符4例;Rh(D)血型不符2例;不规则抗体阳性9例。结论对手术备血患者提前作不规则抗体筛检和血型复检,并完成交叉配血,对保障输血安全、有效和及时有重要意义。输血前作不规则抗体筛检对有输血史或妊娠史的择期手术患者尤为重要。

Objective To explore the clinical value of preoperative screen of irregular antibodies and reexaminations of blood type. Methods The blood type re-examinations, and the screen and identification of irregular antibodies were performed in the preoperative patients via gel-test technique. Results Among 4 021 preoperative patients, there were 4 cases of incompatible blood types; 2 eases of RhD incompatibility and 9 patients with irregular antibodies. Conclusions In advance blood type re-examination, irregular antibody screening, and cross matching can assure the safe, effective and timely transfusion. It is more important to perform the screen of irregular antibododies before transfusion among the selective operative patients having transfusion and the pregnant women.