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《Chinese Journal of Blood Transfusion》 2014-06
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The cause and solution of difficult blood cross match in cardiovascular surgery patients

CHE Ji;CHANG Ying;LIU Lijuan;ZHANG Weimei;DAI Ping;Department of Blood Transfusion,An zhen Hospital Capital Medical University;  
Objective: To explore the causes and solution of difficult blood cross match in cordiovascular swrgerypatients before tsansfusion. Methods 11 848 blood samples in our hospital from 1 January 2011 to 31 December 2011 were retrospectively analyzed the results of compatibility testing,including saline water method,polybrene method and micro-column gel test and identified ABO blood group and RhD blood group,screened irregular antibodies,and cross-matched with the patients' samples. Results 76 samples( 0. 64%) of 11 848 samples were complicated samples; 8 samples with suspicious ABO blood group,50 samples with irregular antibodies from patients,10 samples with irregular antibodies from blood donors and 9 samples with direct antiglobulin test positive. A total of 11848 serum samples were analyzed,in which 50 had irregular antibodies,and the total positive rate was 0. 42%. The most frequent-ly detected antibodies were anti-M: 38%( 19 /50),followed by the anti-E: 14%( 7 /50),the anti-Lea: 4%( 2/50),antiKidd: 2%( 1 /50),anti-Duffy: 4%( 2 /50). Conclusion Analysis of the relevant factors of clinical different blood matching,and distribution of irregular red blood cell antibodies in with cardiovascular surgery patients,helps to take effective measures to solve the difficult blood cross-match,in order to guarantee the transfusion safetry in cardiovascular surgeries blood transfusion.
【CateGory Index】: R457.1
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