Blumberg N, Bove J R
JAMA. 1978 Nov 3;240(19):2057-9.
One year's experience (56 cases) in the use of un-cross-matched blood for emergency transfusion in a large civilian teaching hospital showed that 49 transfusions were given as un-cross-matched, group-specific (ABO and Rh) blood in emergencies. Seventy-seven percent (43) of blood requests were for patients with trauma, unexpected massive intraoperative hemorrhage, or ruptured aneurysm. The indications for emergency transfusion were questionable in ten cases. There were no adverse effects noted even though complete serologic testing had not been done. While the use of un-cross-matched blood is usually safe, the potential for serious reaction exists. Overuse should be discouraged.
一家大型民用教学医院一年来（56例）在紧急输血中使用未交叉配血血液的经验表明，49次输血是在紧急情况下作为未交叉配血的、血型特异性（ABO和Rh）血液进行的。77%（43例）的输血请求是针对创伤、术中意外大出血或动脉瘤破裂患者。10例紧急输血的适应证存在疑问。尽管未进行完整的血清学检测，但未观察到不良反应。虽然使用未交叉配血血液通常是安全的，但仍存在严重反应的可能性。应避免过度使用。
