论文部分内容阅读
血型不合是引起溶血性输血反应的最常见原因,在临床上以ABO不合有多见,Rh不合引起的输血反应较少。我院曾发生1例现报道如下: 患者,女,46岁。因附件炎和子宫肌瘤住我院妇科行子宫全切术和双附件切除术。术前WBC 4.8×10~9/L,Hgb 105g/L,RBC 3.72×10~(12)/L,PTC100×10~9/L,尿常规阴性,BUN 6.24mmol/L,肝功能正常。术中输同型血600ml。手术顺利,出血约200ml,BP14.7/9.33kPa。术后8个多小时发现巩膜黄染,全身皮肤微黄并有轻度过敏反应。疑为输血反应。复查
Blood group incompatibility is the most common cause of hemolytic transfusion reactions, ABO is clinically abnormal, Rh less caused by less transfusion reactions. A case of our hospital have been reported as follows: patients, female, 46 years old. Due to annex inflammation and uterine fibroids in our hospital gynecological hysterectomy and double attachment resection. Preoperative WBC 4.8 × 10 ~ 9 / L, Hgb 105g / L, RBC 3.72 × 10-12 / L, PTC100 × 10 ~ 9 / L, urine negative, BUN 6.24mmol / L, normal liver function. Intraoperative blood transfusion type 600ml. Surgery is smooth, bleeding about 200ml, BP14.7 / 9.33kPa. Scleral yellow dye was found in more than 8 hours after operation, with slight yellowish skin and slight allergic reaction. Suspected transfusion reaction. Review