通过ABO异型骨髓移植后A、B及Rho(D)抗原强度及其相应抗体检测 ,可以监测移植后造血重建的过程以及血浆置换的效果。
在临床输血实际中,只要求ABO血型的完全配合,而对RH血型系统一般只作D抗原的检查 ,仅给以D抗原相配合的血.对RH血型系统其他诸因子则不作常规检查,这就容易导致误输R H异型血而引发迟缓性溶血性反应,虽然产生这种反应的机率仅占临床输血的万分之一 [1],但在输血实际中仍不可避免地会产生,笔者在20 a余中曾见有数10例.本文就典型4例因误输RH异型血导致配血困难及产生溶血性反应分析如下.
To understand the signifinance of Coomb's test on the treatment of HBV infection. One hundred and thirty two cases (eighty seven males and fourty five females)were collected. The average age of these patients was 43.2 years old. 15 cases of caute hepatitis, 92 cases of middle chronic hepatitis, 17 chronic emergency hepatitis were included in the study. Coomb's test, ANA and CD 4/CD 8 were detected when the patients were admitted to the hospital and during in hospital. Direct Coomb's tests were positve in the patients with actue severe hepatitis, chronic severe hepatitis and chronic emergency hepatitis (Anti-super IgG,anti-c3,and anti-IgG were 19,19 and 2 cases, respectively),while only one case was found positve in the indirected Coomb's test, 19 cases were found that the ANA were positve and CD 4/CD 8 decreased. All the titer of these indexes were positively correlated with the development of the disease. Coomb's test is helpful for the monitor and treatment of HBV.