再生障碍性贫血和淋巴瘤引起血型“变异”各1例

来源 :安徽医科大学学报 | 被引量 : 0次 | 上传用户:ivwsige
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例1,男性,7岁。长期发烧、咳嗽,浮胂、血尿伴浅表淋巴结肿大于1987年11月28日入院。经腹股沟淋巴结活检证实为淋巴瘤。入院时WBC8.3×10~9/LPlt 7.4×10~(10)/L,Hb60g/L,血型为“AB”型,于11月30日和12月3日经交叉试验符合后,分别输“AB”型血100ml和200ml,均无输血反应。12月16日再次和AB型血作交叉:主管(+),次管(-),更换数个AB型血标本重复作交叉,均呈上述结果。复查患者血型为“A”型,各项辅助检查亦证实为“A”型。再输“A”型血200ml,无输血反应,后症状缓解出院。例2,女,49岁。因患慢性再生障碍性贫血不规则应用丙睾,强的松数年,近来贫血加重,反复呕血于1985年10月20日入院。入院时骨髓有核细胞增生低下,RBC增生受抑制,周围血全血细胞减低,血型为“O”型。于10月24日~28日经交叉符合后,分3次共输入O Example 1, male, 7 years old. Long-term fever, cough, floating arsine, hematuria, superficial lymph nodes were admitted to hospital on November 28, 1987. The inguinal lymph node biopsy confirmed as lymphoma. Admission WBC 8.3 × 10 ~ 9 / LPlt 7.4 × 10 ~ (10) / L, Hb60g / L, blood type “AB” type, on November 30 and December 3 after the cross-test compliance, respectively, lose “AB” type blood 100ml and 200ml, no transfusion reaction. December 16 again and AB-type blood for the cross: supervisor (+), sub-tube (-), the replacement of a few AB-type blood samples were repeated cross, all of the above results. Review the patient’s blood type “A” type, the auxiliary examination also confirmed as “A” type. Then lose “A” type blood 200ml, no transfusion reaction, relieve symptoms after discharge. Example 2, female, 49 years old. Due to chronic aplastic anemia irregular application of testosterone, prednisone for several years, recent anemia, recurrent hematemesis on October 20, 1985 admission. Admission of bone marrow cells with low proliferation of nucleated cells, RBC hyperplasia was inhibited, peripheral blood pancytopenia, blood type “O” type. On October 24 to 28 after the cross-meet, divided into 3 times a total of O
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