ABO疑难血型患者紧急抢救的输血分析

德庆 安(泰安市立医院，中国)

摘要

目的：探讨ABO疑难血型患者紧急抢救的输血。方法：选取2018年8月—2020年5月该院纳入的输血人员数据资料1300例，其中ABO疑难血型患者9例，实施紧急抢救输血患者2例。分析输血疗效、确认血型和后续血制品输注情况、抢救性输注悬液后24h总胆红素检验结果。结果：对1300例输血患者中9例ABO疑难血型患者实施紧急抢救输血治疗，平均输入的红细胞3U，成功后血红蛋白质高于输注前，没有发生溶血性输血反应。结论：合理的输血措施可以挽救患者的生命，尤其是应用在ABO疑难血型患者紧急抢救的输血中效果更佳，应当进一步推广应用。

关键词

ABO疑难血型；紧急抢救；输血

参考

曹微微,黄琬婷,李碧娟,等.4148例输血患者红细胞输注无效的调查分析[J].中国现代医学杂志,2018,28(23):77-82.

Israel, Gotsman, Andre, et al. Clinical Impact of ABO and Rhesus D Blood Type Groups in Patients With Chronic Heart Failure[J]. The American Journal of Cardiology, 2018,122(3):413-419.

胡锋兰,法萍萍,谢展松,等.非同型输血方案在重度创伤患者紧急抢救中的应用[J].中国输血杂志,2020,55(02):123-126.

Rausch C R , Paul S, Kantarjian H M , et al. Utility of Leucovorin Rescue in Patients with Acute Lymphoblastic Leukemia (ALL) Treated with the Mini-Hypercvd Regimen[J]. Blood, 2018,132(1):1417.

朱鑫方,乌宇波,杨李辉,等.紧急抢救输血患者出凝血与用血量关系分析[J].中国实验血液学杂志,2018(04):270-275.

Zangbar B, Chernichenko N, Gross D J, et al. Failure to Rescue in Octogenarian Patients Undergoing Emergency General Surgery: An American College of Surgeons NSQIP Study[J]. Journal of the American College of Surgeons, 2018,227(4):S122-S123.

柯浩珍.基因分型和ABO疑难血型三步分析法鉴定ABO疑难血型1例[J].实用医学杂志,2018,34(08):187-188.

Moreau P, Siegel D S, Goldschmidt H , et al. Subgroup Analysis of Patients with Biochemical or Symptomatic Relapse at the Time of Enrollment in the Endeavor Study[J]. Blood, 2018,132(1):3243.

Pappoppula L P , Ajebo G H , Yeh J , et al. Analysis of trends in race and gender disparities in incidence-based mortality in patients diagnosed with soft tissue sarcomas from 2000 to 2016[J]. Journal of Clinical Oncology, 2020,38(15):e23549.

Socinski M A , Jotte R M , Cappuzzo F , et al. IMpower150: Analysis of efficacy in patients (pts) with liver metastases (mets)[J].Journal of Clinical Oncology, 2019,37(15):9012.

DOI: http://dx.doi.org/10.26549/yzlcyxzz.v4i4.7059