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血型不合输血反应的诊断及其防治
引用本文:刘陕西,黄体强,张崇信.血型不合输血反应的诊断及其防治[J].西安交通大学学报(医学版),1989(1).
作者姓名:刘陕西  黄体强  张崇信
作者单位:西安医科大学第一附属医院内科学教研室 (刘陕西),西安医科大学第二附属医院检验科 (黄体强),陕西省人民医院血库(张崇信)
摘    要:本文通过60例血型不合输血反应分析,对其原因、临床分型、诊断步骤和防治原则进行了讨论。41.66%属责任事故,31.67%属配血方法不完善,26.67%属经验不足,故建议“五双制”配血输血制度和双重配血法。本文并提出三型三度临床分型法,强调早期进行透析治疗是抢救重度患者的关键。

关 键 词:血型不合  溶血  输血反应

DIAGNOSIS PREVENTION AND TREATMENT OF DONOR-UNMATCHED TRANSFUSION REACTIONS
Liu Shaanxi,et al.DIAGNOSIS PREVENTION AND TREATMENT OF DONOR-UNMATCHED TRANSFUSION REACTIONS[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1989(1).
Authors:Liu Shaanxi  
Abstract:This paper presents 60 cases of donor-unmatched transfusion reaction and thecauses,clinical classifications,diagnosticprocedures and preventive principles.Amongthese accidents 41.6% are due to professio-nal irresponsiplity,31.7% due to irregularmatching and 26.7% unexperienced perfor-mance(26.7%).It is suggested that theso-called “5-pairs system”for blood-match-ing and transfusion,the doble blood-match-ching method and a new clinical clas-sification called “3 types and 3 degrees”becarried out in clinical practice.The paperalso emphasizes that early blood dialysis isthe key to the curement of severe patients.
Keywords:donor-unmatched  haemolysis  transfusion reaction  
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