论文下载：RhD阴性患者血清学表型和不规则抗体筛查结果分析

RhD阴性患者血清学表型和不规则抗体筛查结果分析

http://www.100md.com 2011年1月15日王华张洪为谭芳李代渝

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     【摘要】目的调查和分析医院RhD阴性患者的血清学表现型和不规则抗体筛查的情况。方法采用盐水试管法检测RhD抗原，微柱凝胶法检测Rh-CcEe抗原和不规则抗体。结果共检出RhD阴性176例(占037%)，其中检出不规则抗体5例(占284%)。表现型主要以ccdee和Ccdee为主。结论非紧急情况下，医院应对RhD阴性患者进行血清学表现型和不规则抗体筛查，尽量选择Rh血型相同的血液输注同时血站应建立一个稳定而具有详细资料的Rh阴性献血者库，以解决血液供需矛盾，及时满足临床用血需求。【关键词】Rh-D阴性血清学表现型不规则抗体

    Analysis for the situation of the serological phenotype and irregular antibody on the patients with RhD(-)WANG Hua，ZHANG Hong-wei, TAN Fang, LI Dai-yu.The Affiliated Hospital of Luzhou Medical College，Luzhou 646000，China【Abstract】ObjectiveTo investigate and analysis the situation of the serological phenotype and irregular antibody on patients with RhD(-)(Rh blood group D-negative).MethodsUsing saline-vitro method to detect RhD antigen, and microcolumn gel test to detect Rh-CcEe antigen and to screen irregular antibodies.Results176 cases (accounting for 037%) with RhD(-) were detected, including 5 cases of irregular antibodies positive(accounting for 284%). Most of their phenotype were ccdee and Ccdee.ConclusionAt the non-emergency situations, the serological phenotype and irregular antibody should be tested for all patients with RhD(-) in hospital and the blood was choosed to transfuse to patients with tauto- RhD as far as possible ......

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