产后出血不规范用血致迟发性溶血输血反应1例

发布时间：2018-06-05 08:20

  本文选题：产后出血 + 输血　； 参考：《中国输血杂志》2016年05期

【摘要】：目的对1例产后出血输血后产生意外抗体进行血型血清学分析,对患者输血过程及输血后发生溶血过程进行监管分析。方法采用血型血清学方法检测输血意外抗体,按《临床输血技术规范》监管输血过程,观察输血后患者Coomb,s试验、血、尿常规、肝、肾功能变化了解机体对溶血代谢。结果输血产生意外抗体为抗-Ec联合抗体,与本次妊娠无关,与输血不合红细胞量及次数相关,抗体生成逐渐增多,有明显溶血症状是抗体效价≥8以后,溶血停止在输入不合红细胞全部破坏,诊断"红细胞输注无效",发生迟发性溶血输血反应,配合DCCee红细胞输注,输血效果显著。结论加强临床用血管理,及早发现输血意外抗体,为患者提供恰当剂量合适红细胞制品,达到预计输血效果,减少输血意外抗体所致溶血输血反应。
[Abstract]:Objective to analyze the blood type serology of a patient with postpartum hemorrhage after transfusion, and to monitor the process of blood transfusion and hemolysis after transfusion. Methods Blood group serology was used to detect the blood transfusion accident antibody, and the blood transfusion process was supervised according to the Technical Specification of Clinical Blood Transfusion. Coombstest, routine blood, urine routine, liver and kidney function were observed after blood transfusion to understand the hemolysis metabolism. Results the accidental antibody produced by blood transfusion was anti-Ec combined antibody, which had nothing to do with the pregnancy, but was related to the quantity and frequency of blood transfusion incompatible red blood cell, and the antibody production increased gradually. The obvious hemolytic symptom was after the titer of antibody was 鈮，

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