The Effect of the Direct Anti-Human Globulin Test on the Clinical Outcome of Patients Receiving Blood Transfusion

Objective:To study the effect of the direct anti-human globulin test on the clinical efficacy of blood transfusion patients.Methods:52 transfused patients were selected for this study,of which 26 cases with positive direct anti-human globulin tests were included in the positive group,and another 26 cases with negative direct anti-human globulin tests were included in the negative group.The apparent efficacy of the patients in the two groups after blood transfusion was compared.Results:After blood transfusion,the apparent efficacy of the negative group was significantly higher,P<0.05;in the positive group,the proportion of the predominantly multi-antibody group was the highest;after blood transfusion,the post-transfusion apparent efficacy of the simple IgG group was higher than that of the multi-antibody group,P<0.05;comparing the intensity of the different antibodies resulted in the 1+group,and the 3+to 4+groups were significantly lower after blood transfusion,P<0.05.Conclusion:The use of the direct antiglobulin test in transfused patients showed that patients with positive results would have better clinical efficacy.Direct anti-human globulin tests will have an impact on the clinical efficacy of blood transfusion in patients with positive results,so it is very important to carry out a direct anti-human globulin test on blood transfusion patients.

微柱凝集技术检测直接抗人球蛋白试验结果分析

目的分析进行直接抗人球蛋白试验（DAT）患者的检测结果，了解DAT阳性结果疾病的分布情况。方法收集65例DAT阳性结果患者的临床资料，回顾性分析其疾病与检测结果的关系。结果临床诊断“贫血原因待查”患者DAT阳性率最高，占所有阳性患者的49．2％（32／65），其他DAT阳性患者的疾病基本符合文献报道。结论血清DAT检查虽然不能确定患者是否有溶血性贫血，但是可以帮助鉴定溶血是否有免疫基础，从而有利于临床治疗以及选择适宜的时间输注适宜的血液成分。

高压直流挤包绝缘电缆系统试验的分析和研究

与高压交流挤包绝缘电缆系统的试验相比,高压直流挤包绝缘电缆系统试验需要考虑电缆绝缘内最大温差和叠加冲击电压试验这两个难点。直流电缆制造商会依据绝缘材料和电缆设计特点,向试验机构提供绝缘内最大温差的数值。在负荷循环的稳态过程中,需要控制绝缘内最大温差。由于在试验过程中没有办法直接测量绝缘内最大温差,其数值是通过稳态热传递原理公式推算得到的。对依据稳态热传递原理推算的绝缘内最大温差和负荷循环的执行情况进行了说明。运行中的高压直流输电线路除了承受正常的工作电压外,同时还可能承受雷电和操作冲击的作用。因此,在高压输电线路的绝缘设计中,需要考虑直流高压下的空间气隙的冲击放电特性,并对叠加冲击电压试验进行研究。对叠加冲击电压试验的两种试验回路进行了分析和探讨。