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[用HL-A分型单一供者的血小板替代多致敏患者的血小板]

[Substitution ofpolysensitized patients with platelets from HL-A typed single donors].

作者信息

Gmür J, Baumberger U, von Felten A

出版信息

Schweiz Med Wochenschr. 1976 Oct 2;106(40):1358-9.

PMID:1006253
Abstract

80 platelet transfusions from 38 different "full-house" HLA-typed single donors (10 siblings, 28 unrelated persons) were given to 14 thrombocytopenic patients refractory to platelets from random donors. The transfusions resulted in increased platelet increments, provided that the donor had no additional HLA-specificities whatsoever. In 14 out of 19 situations of not-identity between donor and recipient and with poor posttransfusion platelet increments, lymphocytotoxicity tests (incubation of 180 min at room temperature) were positive. This test therefore appears to be a useful tool in predicting the outcome of the transfusions. Granulocytotoxicity tests were positive in 4 HLA-identical donor-recipient pairs. Although severe transfusion reactions were observed, no detrimental influence on platelet increments could be found.

摘要

将来自38位不同的“HLA全相合”单采供血者(10位同胞、28位非亲属)的80次血小板输注给予14例对随机供血者血小板难治的血小板减少症患者。如果供血者没有任何额外的HLA特异性,则输注会使血小板增加值增加。在供血者与受血者不相合且输血后血小板增加值不佳的19种情况中的14种,淋巴细胞毒性试验(室温孵育180分钟)呈阳性。因此,该试验似乎是预测输血结果的有用工具。在4对HLA相合的供血者-受血者中,粒细胞毒性试验呈阳性。虽然观察到严重的输血反应,但未发现对血小板增加值有不利影响。

相似文献

1
[Substitution ofpolysensitized patients with platelets from HL-A typed single donors].[用HL-A分型单一供者的血小板替代多致敏患者的血小板]
Schweiz Med Wochenschr. 1976 Oct 2;106(40):1358-9.
2
[Thrombocyte replacement with HL-A typed non-related single donors].
Schweiz Med Wochenschr. 1976 Jun;106(26):889-93.
3
Platelet crossmatch testing for donor selection.用于供体选择的血小板交叉配型检测。
Prog Clin Biol Res. 1982;88:153-64.
4
The transfusion of HLA-matched platelets to thrombocytopenic patients resistant to random donor platelets.向对随机供者血小板产生抵抗的血小板减少症患者输注 HLA 匹配的血小板。
N Z Med J. 1984 Oct 24;97(766):719-21.
5
Use of in vitro assays in selection of compatible platelet donors.
Transfusion. 1980 Jan-Feb;20(1):47-54. doi: 10.1046/j.1537-2995.1980.20180125040.x.
6
[Thrombocyte migration test as a sensitive tolerance test before platelet substitution (proceedings)].[血小板替代前作为敏感耐受性测试的血小板迁移试验(会议论文集)]
Schweiz Med Wochenschr. 1978 Oct 14;108(41):1596-7.
7
Heterogeneity of antibody response to human platelet transfusion.对人类血小板输注的抗体反应的异质性
J Clin Invest. 1976 Aug;58(2):432-8. doi: 10.1172/JCI108487.
8
Transfusion strategy: use of HLA-matched platelet transfusions for alloimmunized patients.输血策略:为同种免疫患者使用 HLA 配型相合的血小板输注。
Am J Med Technol. 1981 Feb;47(2):114-20.
9
[Experience of HLA-matched platelet transfusion in patients who are refractory to random donor platelets].[人类白细胞抗原(HLA)配型血小板输注对随机供者血小板输注无效患者的治疗经验]
Hokkaido Igaku Zasshi. 1988 Jul;63(4):552-61.
10
Platelet transfusion therapy. One-hour posttransfusion increments are valuable in predicting the need for HLA-matched preparations.
JAMA. 1980 Feb 1;243(5):435-8. doi: 10.1001/jama.243.5.435.

引用本文的文献

1
[Histocompatibility and thrombocyte transfusion].[组织相容性与血小板输血]
Blut. 1977 Apr;34(4):261-70. doi: 10.1007/BF00996202.