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1981年以来,我们在血型工作中,对 ABO 血型系统以外的抗体予以注意,在 Rh 系统、MN 系统、P 系统中均发现了不规则抗体,现报告如下。例1:女,26岁。于1981年7月11日因产后大出血,血红蛋白低于4g/dl 申请输血。血型鉴定为O.CCDee 型,配三个 O 型血均直接凝集,37℃凝集加重。疑有 ABO 以外抗体,与10名 O 型献血员配血,次侧均不凝集,主侧凝集反应有一定的规律性(见表1)。上表提示,患者血清中,含有抗 E 抗体。输入不含 E 抗原的血液后,无不良反应。一个月后复查抗体,患者血清在盐水配血时不凝集任何 O 型红细胞;
Since 1981, we have paid attention to antibodies other than the ABO blood group system in the blood group work. We found irregular antibodies in the Rh system, the MN system and the P system, and are reported as follows. Example 1: Female, 26 years old. July 11, 1981 because of postpartum hemorrhage, hemoglobin less than 4g / dl apply for blood transfusion. Blood type identified as O.CCDee type, with three O-type blood are directly agglutination, agglutination aggravate at 37 ℃. Suspected antibodies other than ABO, and 10 O blood donors with blood, the secondary side are not agglutination, the main side of the agglutination reaction has a certain regularity (see Table 1). The table above suggests that patient serum contains anti-E antibodies. After entering the blood without E antigen, no adverse reactions. The antibodies were reviewed one month later and the patient’s serum did not agglutinate any O-type red blood cells when it was dispensed with saline;