Muñiz Díaz E, Madoz P, Pastoret C, Ercilla G, Roig I, Giro M, Lluch A
Servico de Hemoterapia, Hospital de la Sta. Creu i Sant Pau, Barcelona.
Sangre (Barc). 1990 Feb;35(1):18-25.
The results of a hundred cases of febrile non haemolytic transfusion reactions are presented. We used the techniques that would best identify the different causes of these reactions. Most of these antibodies were anti HLA. Platelet and granulocyte-specific antibodies were seldom detected. The nature of the antibodies was specified by their different reactivity with the cells of various donors, by applying a panel of cells from typed donors and by absorption experiments. The study of the donor sera enabled us to elucidate the causes of some reactions. Nevertheless, in a significant percentage of cases it was not possible to determine the cause of the reaction, especially in the case of reactions secondary to platelet transfusions. Finally, we analyzed the reasons that could account for these phenomena.
本文呈现了100例发热性非溶血性输血反应的结果。我们采用了最能鉴别这些反应不同病因的技术。这些抗体大多为抗HLA抗体。很少检测到血小板和粒细胞特异性抗体。通过应用一组来自定型供者的细胞并进行吸收实验,依据抗体与不同供者细胞的不同反应性来明确抗体的性质。对供者血清的研究使我们能够阐明某些反应的病因。然而,在相当比例的病例中,尤其是血小板输血继发反应的情况下,无法确定反应的病因。最后,我们分析了导致这些现象的原因。