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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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1 Li Wenjing,Jiang Xuebing,Wang Yanju,Ren Ailing,Chen Li,Liu Huizhu(Department of Blood Transfusion,Navy General Hospital,Beijing 100048,China);Irregular antibody screening before blood transfusion and clinical transfusion safety[J];International Journal of Laboratory Medicine;2012-17
2 Liu Jun-hong,Du Zhong-bin,Li Hui-xia(Department of Blood Transfusion,The 264 Hospital,Taiyuan 030001,China);Before A Blood Transfusion on Irregular Antibody Test Clinical Significance and Value to Explore[J];Chinese Journal of Medicinal Guide;2013-04
3 Yuan Bihe(Department of Blood Transfusion,People′s Hospital of Dianjiang County,Chongqing 408300,China);Analysis of clinical difficult and complicated blood matching results[J];Chongqing Medicine;2013-24
4 DAI Ping;WANG Jin-ping;CHANG Ying;Department of Blood Transfusion, Beijing Anzhen Hospital, Capital Medical University;;Analysis of irregular antibody distribution in cardiovascular surgery patients[J];Beijing Medical Journal;2013-11
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