Summary: The efficiency of cold storage red blood cells (CSRBC) or whole blood at -80 ℃ used in 27 Rh(D) negative patients during surgical operation was reported. The Rh(D) negative patients received the transfusion...Summary: The efficiency of cold storage red blood cells (CSRBC) or whole blood at -80 ℃ used in 27 Rh(D) negative patients during surgical operation was reported. The Rh(D) negative patients received the transfusion of CSRBC or whole blood stored at -80 ℃ for 180 to 360 days. The changes in the indexes, such as blood TB, DB, K +, Na +, BUN, Cr, urine protein (URPO), UOB, Hb, HCT, serum total protein, relative to hemolytic reaction and blood volume before and after transfusion were observed. The results showed that after transfusion of CSRBC or whole blood 27 cases were negative for urine protein and UOB, and the levels of BUN and Cr were normal (P>0.05). Blood TB, DB, Hb, and HCT were increased, while pH, blood K + and blood Na + was normal with the difference being not significant before and after operation (P>0.05). Plasma protein was decreased, but there was no significant difference before and after operation (P>0.05). It was suggested that CSRBC or whole blood at -80 ℃ could be safely infused to the Rh(D) negative patients without side effects during the surgical operation.展开更多
目的分析1例胎儿新生儿溶血病(hemolytic disease of the fetus and newborn,HDFN)产生的原因,初步探讨产妇Rh缺失型D--形成的遗传背景。方法使用血清学方法对患儿及其母亲进行ABO血型、Rh分型,血液抗体细胞,谱细胞分析,探讨导致胎儿溶...目的分析1例胎儿新生儿溶血病(hemolytic disease of the fetus and newborn,HDFN)产生的原因,初步探讨产妇Rh缺失型D--形成的遗传背景。方法使用血清学方法对患儿及其母亲进行ABO血型、Rh分型,血液抗体细胞,谱细胞分析,探讨导致胎儿溶血的抗体以及Rh缺失型D--的血型血清学特点,对产妇进行RH基因序列分析。结果患儿母亲血型为O型,血清学试验结果显示Rh缺失型D--,怀疑为多次妊娠产生针对Rh高频抗原的抗-Hr0,抗体通过胎盘屏障,使患儿获得针对Rh高频抗原的抗-Hr0,导致HDFN,基因检测结果为RHCE^(*)Ce/RHCE^(*)Ce。结论对产妇开展Rh缺失型D--的形成机制进行深入研究,为HDFN换血治疗提供临床价值,也为特殊血型人群输血提供临床依据。展开更多
目的:回顾性分析Rh(D)阴性患者特殊情况紧急抢救输血应用“配合型输血”的病例资料,探讨应用配合型输血的安全性和有效性。方法对新疆阿克苏地区2014年1月-2015年12月Rh(D)阴性患者特殊情况紧急抢救输血6例应用“配合型输血”(...目的:回顾性分析Rh(D)阴性患者特殊情况紧急抢救输血应用“配合型输血”的病例资料,探讨应用配合型输血的安全性和有效性。方法对新疆阿克苏地区2014年1月-2015年12月Rh(D)阴性患者特殊情况紧急抢救输血6例应用“配合型输血”(病例组)及6例应用同型输血(对照组)的基本资料、红细胞抗体筛查、胆红素、血红蛋白(Hb)、网织红细胞计数(Ret)、红细胞比容(Hct)及住院天数(d)等进行统计分析,探讨配合型输血安全性与有效性。结果病例组与对照组输血后72 h红细胞抗体筛查阴性均未产生抗-D、输血后24 h Hb实际升高值分别为(28.53±10.09)g/L和(21.24±3.13)g/L、无非传染性输血并发症发生,病例组与对照组输血前后各指标的差异无统计学意义。结论 Rh(D)阴性患者特殊情况紧急抢救输血应用“配合型输血”是一种安全有效的临床输血治疗途径,同时对输注Rh(D)阳性红细胞的患者也应建立的规范的追踪、随访及评价体系。展开更多
文摘Summary: The efficiency of cold storage red blood cells (CSRBC) or whole blood at -80 ℃ used in 27 Rh(D) negative patients during surgical operation was reported. The Rh(D) negative patients received the transfusion of CSRBC or whole blood stored at -80 ℃ for 180 to 360 days. The changes in the indexes, such as blood TB, DB, K +, Na +, BUN, Cr, urine protein (URPO), UOB, Hb, HCT, serum total protein, relative to hemolytic reaction and blood volume before and after transfusion were observed. The results showed that after transfusion of CSRBC or whole blood 27 cases were negative for urine protein and UOB, and the levels of BUN and Cr were normal (P>0.05). Blood TB, DB, Hb, and HCT were increased, while pH, blood K + and blood Na + was normal with the difference being not significant before and after operation (P>0.05). Plasma protein was decreased, but there was no significant difference before and after operation (P>0.05). It was suggested that CSRBC or whole blood at -80 ℃ could be safely infused to the Rh(D) negative patients without side effects during the surgical operation.
文摘目的分析1例胎儿新生儿溶血病(hemolytic disease of the fetus and newborn,HDFN)产生的原因,初步探讨产妇Rh缺失型D--形成的遗传背景。方法使用血清学方法对患儿及其母亲进行ABO血型、Rh分型,血液抗体细胞,谱细胞分析,探讨导致胎儿溶血的抗体以及Rh缺失型D--的血型血清学特点,对产妇进行RH基因序列分析。结果患儿母亲血型为O型,血清学试验结果显示Rh缺失型D--,怀疑为多次妊娠产生针对Rh高频抗原的抗-Hr0,抗体通过胎盘屏障,使患儿获得针对Rh高频抗原的抗-Hr0,导致HDFN,基因检测结果为RHCE^(*)Ce/RHCE^(*)Ce。结论对产妇开展Rh缺失型D--的形成机制进行深入研究,为HDFN换血治疗提供临床价值,也为特殊血型人群输血提供临床依据。
文摘目的:回顾性分析Rh(D)阴性患者特殊情况紧急抢救输血应用“配合型输血”的病例资料,探讨应用配合型输血的安全性和有效性。方法对新疆阿克苏地区2014年1月-2015年12月Rh(D)阴性患者特殊情况紧急抢救输血6例应用“配合型输血”(病例组)及6例应用同型输血(对照组)的基本资料、红细胞抗体筛查、胆红素、血红蛋白(Hb)、网织红细胞计数(Ret)、红细胞比容(Hct)及住院天数(d)等进行统计分析,探讨配合型输血安全性与有效性。结果病例组与对照组输血后72 h红细胞抗体筛查阴性均未产生抗-D、输血后24 h Hb实际升高值分别为(28.53±10.09)g/L和(21.24±3.13)g/L、无非传染性输血并发症发生,病例组与对照组输血前后各指标的差异无统计学意义。结论 Rh(D)阴性患者特殊情况紧急抢救输血应用“配合型输血”是一种安全有效的临床输血治疗途径,同时对输注Rh(D)阳性红细胞的患者也应建立的规范的追踪、随访及评价体系。