Taniwaki K
Rinsho Byori. 1989 Jul;37(7):745-9.
To reduce work and effectively use blood for transfusion, a type and screening system (T & S) has been adopted in many hospitals. A questionnaire survey on the system and tests for a transfusion was carried out on our hospital and 381 other hospitals. For 3 years in our hospital, 0.73% of the samples tested revealed the presence of antibodies to red cells which were 30% of the antibodies in Rh system, 30% in Le system, 38% in P1 M and N, and 3% of the other system such as Fyb, Jka and S. Forty percent of the positive samples were subjected to a crossmatch test. The tests were done in a laboratory for serum test in approximately half of the hospitals. A pharmaceutical division controlled the reservation of blood and blood components in 56% of the hospitals. In 45% of the hospitals, a crossmatch test was done using the methods of saline, enzyme treatment and Coombs test. In 10% of the hospitals. Coombs test was used for the test in the transfusion of red cells, platelets, and frozen plasma, and tests were done in 100, 67, and 52% of the hospitals, respectively. When the T & S system is adopted. Staff must have sufficient knowledge on blood transfusion and the system must be efficient to avoid transfusion troubles.
为了减少工作量并有效利用输血用血，许多医院采用了血型鉴定和筛查系统（T&S）。我们医院和其他381家医院针对该系统及输血检测进行了问卷调查。在我们医院的3年里，检测样本中有0.73%显示存在红细胞抗体，其中Rh系统抗体占30%，Le系统抗体占30%，P1 M和N抗体占38%，Fyb、Jka和S等其他系统抗体占3%。40%的阳性样本进行了交叉配血试验。约半数医院在血清检测实验室进行这些检测。56%的医院由药剂科负责血液及血液成分的储备。45%的医院采用盐水法、酶处理法和抗人球蛋白试验进行交叉配血试验。10%的医院在红细胞、血小板和冰冻血浆输血检测中使用抗人球蛋白试验，分别有100%、67%和52%的医院进行了此项检测。采用T&S系统时，工作人员必须具备足够的输血知识，且该系统必须高效，以避免输血问题。
