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不规则抗体检验在临床输血中的检验效果及对患者治疗预后的影响研究 被引量:9

The effect of irregular antibody test in clinical blood transfusion and its effect on the prognosis of patients
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摘要 目的:探讨不规则抗体检验在临床输血中的检验效果及对患者治疗预后的影响。方法:收治输血治疗患者900例,输血前行不规则抗体筛查和抗体特异性鉴定,统计不规则抗体的特异性及检出率。结果:900例患者中,8例筛查出不规则抗体,阳性率为0.89%。6例(75.0%)有血液疾病或肿瘤疾病,2例(25.0%)其他,与不规则抗体筛查阴性者相比,差异有统计学意义(P<0.05)。8例阳性患者中,5例Rh系统抗体阳性,阳性率为62.5%;3例MNS系统阳性,阳性率为37.5%。8例患者均得到有效治疗。结论:对输血治疗患者进行不规则抗体检验的效果理想,能根据筛查结果选择合适的血液,减少或避免溶血性输血反应发生,改善患者治疗预后。 Objective:To explore the effect of irregular antibody test in clinical blood transfusion and its effect on the prognosis ofpatients.Methods:900patients with transfusion therapy were selected.They were given irregular antibody screening and antibodyspecific identification before transfusion.We analyzed the specificity and detection rate of irregular antibodies.Results:In the900patients,8cases had irregular antibodies,and the positive rate was0.89%.6patients(75%)had hematologic or neoplastic diseases,and2patients(25%)had other diseases.Compared with those with negative irregular antibody,the difference was statisticallysignificant(P<0.05).In the8positive patients,Rh antibody in5cases was positive,and the positive rate was62.5%;MNS system in3cases was positive,and the positive rate was37.5%.8patients were treated effectively.Conclusion:The effect of irregular antibodytest in clinical blood transfusion was ideal.We can choose the right blood according to the screening results,so as to reduce oravoid the incidence of hemolytic transfusion reaction,and improve the prognosis of patients.
作者 刘览 姚志祥 苏群 Liu Lan;Yao Zhixiang;Su Qun(Clinical Laboratory,the First Hospital of Xuzhou Mining Group,Jiangsu Province 221131)
出处 《中国社区医师》 2017年第6期88-89,共2页 Chinese Community Doctors
关键词 不规则抗体 临床输血 检验效果 治疗预后 Irregular antibody Clinical blood transfusion Test results Treatment prognosis
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