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《Chongqing Medicine》 2013-24
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Analysis of clinical difficult and complicated blood matching results

Yuan Bihe(Department of Blood Transfusion,People′s Hospital of Dianjiang County,Chongqing 408300,China)  
Objective To understand clinical difficult and complicated blood matching phenomenon,and analyze the measures should be taken and solutions in the next step.Methods From 2010 June to 2013 February,the result datas of difficult and complicated blood matching in all matching blood specimens were analyzed by further experiment.Results The 4 980 cases of ABO blood specimens,including 22 cases of positive and negative stereotypes not identical(0.44%),the inconsistent reason was due to attenuated antigen in 3 cases(13.64%),attenuated antibody in 4 cases(18.18%),3 cases of ABO subtype(13.64%),3 cases of recent blood transfusion(13.64%),9 cases of cold agglutinin interference(40.91%);In recent years,there were 26 cases of irregular antibody positive(0.18%) in 14 560 cases of clinical trial results,including the non-specific antibody in 2 cases(7.69%),24 cases of specific antibody(92.31%).Conclusion The key to solve difficult blood matching is the reason analysis of incompatible cross matching,and should be combined with clinical data and results of the test,select the appropriate identification method to further experiment,promptly provide accurate blood type for blood recipients.
【CateGory Index】: R446.6
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