输血前Rh(D)检测及其在输血中的意义

探讨输血前检测受血Rh血型的意义及对Rh(D)阴性能及时输用同型血或采用自体输血的可能性。对近5年来住院治疗首次申请输血的病人共2168例，在输血前1天进行Rh(D)血型抗原的检测，应用BASO公司生产的IgM抗—D血清，采用试管法进行检测。结果表明：在2168例病人中检测出Rh(D)阴性7例，Rh(D)阴性率占0．32％，其中2例采用自体输血，2例输用ABO同型的Rh(D)阴性血液，3例未输血。结论：输血前检测Rh(D)血型能防止溶血性输血反应；如果病人是Rh(D)阴性，只要身体条件允许可采用自体输血。

Detection of Rh(D) before Blood Transfusion and Its Significance

The significance of detecting the recipient's Rh D blood type before transfusion and the feasibility of in-time transfusion to Rh D-negative person with the same ABO type blood or autologous blood were explored. For 2,168 inpatients who applied for transfusion for the first time in the latest five years, Rh D-antigen was detected a day before transfusion by test tube method with IgM anti-D serum provided by BASO company. The results showed that seven Rh D-negative cases were found among 2,168 cases and the Rh D-negative rate was 0.32%. Of these seven cases, two were received autologous blood, two were received Rh D-negative blood of the same type and the other three were not treated with transfusion. It is concluded that hemolytic reaction of transfusion was prevented by detecting Rh D blood type before transfusion, autologous transfusion may be taken if the patient's health-condition permits.