1627例新生儿红细胞抗体筛查和鉴定试验的分析 |
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引用本文: | 姜志勇,;黄钰君,;陈卓瑶,;欧阳芬,;周伟,;陆玲,;陈晓文,;陈扬凯. 1627例新生儿红细胞抗体筛查和鉴定试验的分析[J]. 中国优生与遗传杂志, 2009, 0(12): 71-73 |
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作者姓名: | 姜志勇, 黄钰君, 陈卓瑶, 欧阳芬, 周伟, 陆玲, 陈晓文, 陈扬凯 |
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作者单位: | [1]广州市妇女儿童医疗中心儿童院区检验科,广州510120; [2]广州医学院2005级检验本科班;,广州510120; [3]广州市妇女儿童医疗中心儿童院区NICU病区;,广州510120; [4]广州中心血站,广州510120; |
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摘 要: | 目的红细胞血型抗体(即不规则抗体)筛查和鉴定试验在新生儿溶血病中的意义。方法采用微柱凝胶技术对1627例新生儿进行ABO、Rh血型定型、直接抗人球白试验、游离抗体测定、放散试验,红细胞血型抗体筛查试验,检测出6例有ABO以外的抗体,进一步用盐水、聚凝胺法、抗球蛋白试验进行抗体鉴定。结果6例红细胞血型抗体筛查阳性,进一步抗体鉴定,检测出抗-D4例,抗-E1例,抗-c1例。结论根据红细胞血型抗体的特性,可为患儿选择无相应抗原的血液进行换血和治疗。
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关 键 词: | 红细胞血型抗体 不规则抗体 新生儿溶血病 微柱凝胶技术 |
Analysis of erythrocyte antibody screening and identification of 1627 newborn infants |
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Affiliation: | JIANG Zhi - yong , HUANG Yu - jun , CHEN Zhuo - yao , OU Yang -fen, ZHOU - Wei, LU Ling, CHEN Xiao - wen, CHEN Yang - kai ( 1. Department of Clinical laboratory, Guangzhou Children and Women's Medical center, Gnangzhou 510180, China) |
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Abstract: | Objective: To investigate the erythrocyte antibody of 1627 newborn infants by microcolum gel test , and analysis the results. Methods: 1627 newborn infants were subjected to serologic examination including blood type , direct coombs serum free anti- body , red blood cell antibody release and erythterocyte antibody screening. 6 samples were found in other antibody beside ABO blood group system , which were identified by Brine agglutinate, polybrene and coombs test. Results: The irregular specific alloantibodies were found in 6 samples, 5 were belonged to Rh system, in which 4 samples were proved to be anti - DAb, 1 to be anti - E and 1 to be anti - C Ab . Conclusion : Antibody screening and identification are very important in blood transfusion. |
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Keywords: | Erythrocyte antibody Irregular antibody HDN Blood group serological Microcolum gel technology (MGT) |
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