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Rh阴性个体输入D~(el)红细胞产生抗-D免疫的研究
引用本文:王宝燕,张建耕,徐华,吴大州,王满妮,张文利,刘淑会. Rh阴性个体输入D~(el)红细胞产生抗-D免疫的研究[J]. 中国输血杂志, 2011, 24(7): 592-594
作者姓名:王宝燕  张建耕  徐华  吴大州  王满妮  张文利  刘淑会
作者单位:1. 西安交通大学医学院第一附属医院输血科,陕西西安,710061
2. 陕西省血液中心
基金项目:陕西省科学技术研究发展计划项目支持(2010K16-01-12)
摘    要:目的探讨Rh阴性个体输血中Del型红细胞的D抗原免疫原性。方法对临床输血的Rh阴性患者进行回顾性跟踪检测,采用PCR-SSP法检测标本RHD基因,间接抗球蛋白法检测抗-D效价,流式细胞术对比输血前后抗体强度的变化。结果 2名输注Del型血液的Rh阴性患者,抗-D效价升高,流式细胞术检测结果显示抗-D强度明显升高,说明Del表型红细胞具有一定的免疫原性。结论为了保障临床输血安全,常规血清学检测Rh阴性的供血者,应进一步排除弱D及Del型。

关 键 词:Rh阴性  Del表型  基因  抗-D

A study on immunization of anti-D of individuals with negative RhD following transfusion of D~(el) type red blood cells
Wang Baoyan,ZHANG Jiangeng,XU Hua,et al.. A study on immunization of anti-D of individuals with negative RhD following transfusion of D~(el) type red blood cells[J]. Chinese Journal of Blood Transfusion, 2011, 24(7): 592-594
Authors:Wang Baoyan  ZHANG Jiangeng  XU Hua  et al.
Affiliation:Wang Baoyan1,ZHANG Jiangeng2,XU Hua2,et al.Corresponding auther: XU Hua.1.Department of Blood Transfusion,The First Affiliated Hospital of Medical College,Xi'an Jiaotong University,Shaanxi Xi'an 710061,China,2.Shaanxi Blood Center
Abstract:Objective To inquire immunogenicity of Del red blood cells to Rh negative recipient.Methods RHD gene was tested in PCR-SSP method and titer of anti-D antibody of the patients was tested by indirect anti-globin test.The strength of anti-D in patients were contrasted before and after transfusion by flow cytometry.Results The two recipients who recived Del type RBC showed that titer and strength of anti-D antibody rose significantly,suggesting that Del phenotype red blood cells have immunogenicity to Rh negati...
Keywords:Rh negative  Del Phenotype  Gene  Anti-D  
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