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Rh系统血型不合引起的输血反应中,以抗D抗体引起者较为多见。现将一例由抗D抗体所致严重溶血性输血反应报告如下: 病历摘要孙××,女,66岁,住院号:293937。因头晕、乏力、面色苍白、活动后心悸、气短6年,加重1年,以“贫血待查”于1991年6月8日住院治疗。查体:T36.8,P100,R24,Bp15/9。神志清,重度贫血外貌。实验室检查:WBC1.31×10~9,RBC1.25×10~(12),Hb24g,Ph0.01～0.05。ABO血型:O型。骨髓象:增生性贫血骨髓象;血清铁13.32μmol。住院期间输血两次:第一次在6月8日,拟输新鲜全血400ml,但只输30ml～40ml时就出现寒战、心悸、口唇发绀等症状,立即停止输血。患者逐渐出现昏迷,右侧肢体偏瘫。第二次输血在6月12日,输O型洗涤
Rh system blood group caused by incompatible transfusion reactions to anti-D antibody caused more common. Now a case of severe hemolytic transfusion reaction caused by anti-D antibodies are as follows: Medical record summary Sun × ×, female, 66 years old, hospital number: 293937. Due to dizziness, fatigue, pale, palpitations after activity, shortness of breath for 6 years, an increase of 1 year, with “anemia to be investigated” in June 8, 1991 hospitalization. Physical examination: T36.8, P100, R24, Bp15 / 9. Conscious, severe anemia appearance. Laboratory tests: WBC1.31 × 10 ~ 9, RBC1.25 × 10 ~ (12), Hb24g, Ph0.01 ~ 0.05. ABO blood type: O type. Bone marrow: Bone marrow hyperplasia; serum iron 13.32μmol. Transfusion twice during hospitalization: The first time on June 8, intended to lose fresh whole blood 400ml, but only lost 30ml ~ 40ml appeared chills, palpitations, cyanosis of the lips and other symptoms, stop transfusion immediately. Patients gradually coma, the right limb hemiplegia. The second transfusion on June 12, lose O-type washing