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目的研究低效价不规则抗体对妇科患者红细胞输注效果的影响。方法评价2013年1月-2016年6月本院妇科输血患者的红细胞输注效果,用抗球蛋白增强试验检测红细胞无效输注患者血清中低效价不规则抗体,分析低效价不规则抗体阳性患者红细胞输注的临床和实验室相关资料。结果 10%的妇科输血患者(75/748)存在红细胞无效输注,10.7%的红细胞无效输注患者(8/75)低效价不规则抗体阳性,且没有明显迟发性溶血性输血反应。结论低效价不规则抗体是引起妇科患者红细胞无效输注的重要原因,在临床输血过程中应给予足够重视。
Objective To investigate the effect of irregular low-titer antibody on the transfusion of erythrocytes in gynecologic patients. Methods Erythrocyte transfusion was evaluated in patients with gynecological blood transfusion in our hospital from January 2013 to June 2016. The low titer of irregular antibody was detected by anti-globulin enhanced test in patients with ineffective erythrocyte infusion. Positive patients with red blood cell transfusion of clinical and laboratory-related information. Results In 10% gynecological transfusion patients (75/748), there was an invalid transfusion of red blood cells, while 10.7% of patients with ineffective erythrocytes infusion (8/75) had low titer of irregular antibodies. There was no obvious delayed hemolytic transfusion reaction. Conclusion Low titer of irregular antibodies is an important cause of ineffective infusion of red blood cells in gynecological patients, and should be given enough attention in clinical transfusion.