摘要
目的了解北京市稀有血型患者不同情况下输血途径,为相关政策制定提供依据。方法回顾性分析2000-2011年北京市稀有血型患者血液标本抗体筛查、疑难配血情况,对稀有血型患者血型血清学结果、临床诊断、不同输血方法进行分析。结果近11年来共发现7例罕见的稀有血型患者,检出率为9/10000;其中3例为Fy(a-b+)存在抗-Fya抗体,2例为D--存在抗-Hr0抗体,1例为Jk(a-b-)存在抗-Jk3抗体,1例为OhB-分泌型存在抗-HI抗体。其中2例患者通过中国稀有血型库提供相合血液(1例同时自体备血),3例通过亲属互助献血(1例同时自身输血),2例自身输血。结论稀有血型在输血人群中出现频率极低,此类患者相合性血液输注极为困难,制定稀有血型输血有关策略及建立和完善稀有血型库十分必要。
Objective To investigate the transfusion mode of rare blood groups in Beijing. Methods Retrospective analysis was carried out among rare blood patients in Beijing from 2000 to 2011, including their irregular antibody screen-ing, difficult blood matching, clinical diagnosis and transfusion strategy. Results The rate of rare blood groups in Beijing was 7/7721 during 2000-2011. Seven patients were found with rare blood groups, three were Fy （ a-b＋ ） with anti-Fya an-tibody, two were D-with anti-Hr0 antibody, one was Jk（ a-b- ） with anti-Jk3 antibody, one was Oh^B- secretor with an-ti-HI antibody. For blood transfusion of the 7 patients, two found compatible blood in Chinese Bank of rare blood （one pa-tient had preoperative autologous blood collectionat the same time）, three were transfused by blood donation from patients＇ relatives （one had autologous blood transfusion at the same tinme）, two had autologous blood transfusion. Conclusion The presence of rare blood group in Chinese population is rare, transfusion of compatible blood is very difficult. It is necessary to establish both the transfusion strategy of the rare blood patients and rare blood bank.
出处
《北京医学》
CAS
2013年第2期134-136,共3页
Beijing Medical Journal
关键词
稀有血型
稀有血型库
输血途径
Rare blood
Rare blood bank
Transfusion strategy
