Farr V, Gray E
Aberdeen Maternity Hospital.
Scott Med J. 1988 Aug;33(4):300-3. doi: 10.1177/003693308803300407.
This is a review of the obstetric histories of women with Kell antibodies who delivered between 1964 and 1983. The majority of women with Anti-Kell in their sera have Kell negative husbands and have been sensitised by blood transfusion. In only six mothers was antibody formation the result of isoimmunisation and all cases where the baby was known to be Kell positive ended in fetal death. Amniocentesis is not helpful in managing these cases, and at times might be misleading, so that other techniques, such as ultrasound, might be more helpful. A review of the literature confirms that Kell isoimmunisation is rare, but that when it does occur the outlook for the baby is poor.
这是一篇对1964年至1983年间分娩的携带凯尔抗体女性的产科病史回顾。大多数血清中有抗凯尔抗体的女性其丈夫为凯尔阴性，她们因输血而致敏。只有6位母亲抗体形成是同种免疫的结果，并且所有已知婴儿为凯尔阳性的病例均以胎儿死亡告终。羊膜穿刺术对处理这些病例并无帮助，有时可能会产生误导，因此其他技术，如超声检查，可能更有用。文献回顾证实凯尔同种免疫很少见，但一旦发生，婴儿的预后很差。
