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題 名 | 某區域醫院高頻率抗原抗體案例及輸血解決方式=The Cases of High-Frequency Antigen Antibody and How to Transfer Blood by Regional Hospital |
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作 者 | 張家曦; 吳映穎; 周正忠; | 書刊名 | 安泰醫護雜誌 |
卷 期 | 18:2 2012.06[民101.06] |
頁 次 | 頁1-10 |
分類號 | 415.652 |
關鍵詞 | 自體輸血; 多重抗體; Kidd血型系統; Anti-Jk3; Autotransfusion; Multi-antibodies; Kidd blood system; |
語 文 | 中文(Chinese) |
中文摘要 | 本院分別於民國95年12月及民國99年12月接觸到2個血清中含有不規則抗體Anti-Jk3的案例,因Anti-Jk3屬於高頻率抗原抗體,所以輸血問題實屬一項挑戰。且對於本院而言,因屬於較偏遠之區域醫院,每年平均備血件數約只有6500多件,並不符合成本購買抗血清試劑,因此要鑑定高頻率抗原抗體是相當有難度。目前本實驗室能鑑定出的抗體有E、C、c、e、D、Lea、Leb、Jka、Jkb、M、P1、S、Mia、Dia,若含有3種以上的多重抗體也必須委外執行抗體鑑定。由於現今解決高頻率抗原輸血的方式只有冷凍甘油紅血球和自體輸血2種。所以此2案例中,一例採用自體輸血方式輸血,另一例因敗血症而無輸血問題。因此本篇就以本院所遇兩案例實驗結果及輸血方式彙整相關文獻做討論。 |
英文摘要 | How to solve the problem in blood transfusion with high-frequency antigen antibody has been a huge challenge. Two cases containing high-frequency antigen antibody of Anti-Jk3 in their serum were contacted with our hospital in December of 2006 and December of 2010. Because buying anti-serum reagent for an average of 6500 pieces of preparation for blood components each year is not cost-effective, it is quite difficult to identify high-frequency antigen antibody for our hospital of remote districts. Currently, our laboratory can identify antibodies, including anti-E, anti-C, anti-c, anti-e, anti-D, anti-Lea, anti-Leb, anti-Jka, anti-Jkb, anti-M, anti-P1, anti-S, anti-Mia and anti-Dia. However, if the amount of identified antibody type exceed 3 in one case, we should make a request for other organizations. In blood transfusion with high-frequency antigen antibody, frozen red cell and autologous blood transfusions are primary methods. Here, autologous blood transfusion was used in one case, and there was no blood transfusion in another case with septicemia. Experiment results and blood transfusion methods of two cases will be discussed in this article. |
本系統中英文摘要資訊取自各篇刊載內容。