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[心脏手术体外循环相关低温期间床边输血相容性检测对冷凝集素的可靠性]

[Bedside pretransfusion compatibility testing fiability with cold agglutinins during cardiopulmonary bypass associated hypothermia for cardiac surgery].

作者信息

Noll E, Levy F, Waller C, Wiesel M-L, Steib A

机构信息

Service d'anesthésie, réanimation chirurgicale, Samu-Smur Nouvel Hôpital Civil de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg cedex, France.

出版信息

Ann Fr Anesth Reanim. 2010 Jul-Aug;29(7-8):579-81. doi: 10.1016/j.annfar.2010.05.030. Epub 2010 Jul 6.

DOI:10.1016/j.annfar.2010.05.030
PMID:20609554
Abstract

This case report is an example of a bedside pretransfusion compatibility testing issue. An 81-years-old woman was admitted in the operating room for aortic valve replacement under cardiopulmonary bypass. A conflict occurred during the bedside pretransfusion compatibility testing between the results of the patient and the packed red blood cells. Afterwards, the patient was diagnosed with cold agglutinins. It might have produced false positive results with the anti-A and anti-B reagents.

摘要

本病例报告是床边输血相容性检测问题的一个实例。一名81岁女性因在体外循环下进行主动脉瓣置换术而入住手术室。在床边输血相容性检测过程中，患者与浓缩红细胞的检测结果之间出现了冲突。此后，该患者被诊断为冷凝集素。它可能与抗A和抗B试剂产生了假阳性结果。

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