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血型变异少见,笔者所见一例报告如下。患者男性20岁,住院号245514。于83年3月21日因淋巴结肿大、皮下出血一月入院。体查:T38.5℃,胸骨压痛,颈部及腋下淋巴结肿大,Hb10g,WBC14600,分类原早幼粒31％。骨髓增生Ⅰ级,原早幼粒56％,血型“O”型,诊断急性粒细胞白血病,给联合化疗,先后三次输“O”型血900ml,无反应。6月20日患者症状改善,但血液学未缓解,拟在化疗时输血支持,交叉配血出现与“O”型血不配现象,经反复检测患者血型符合“B型”,配血结果(见附表)。并检查
Blood type variation is rare, the author sees a case report as follows. Male patient 20 years old, hospital number 245514. On March 21, 83 due to lymphadenopathy, subcutaneous bleeding in January hospitalization. Physical examination: T38.5 ℃, sternal tenderness, neck and armpit lymph nodes, Hb10g, WBC14600, classification of the original promyelocytic 31%. Myeloid hyperplasia grade Ⅰ, the original promyelocytic 56%, blood type “O” type, the diagnosis of acute myeloid leukemia, to the combined chemotherapy, has lost three times “O” blood 900ml, no response. The patient’s symptoms improved on June 20, but the hematology was not relieved. Blood transfusions were proposed during chemotherapy. Cross-matching blood appeared with “O” type blood unworthy phenomenon. After repeated detection, the patient’s blood group was “B type” Schedule). And check