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以孟买血型出现的继发性产后出血:一例报告

Secondary Postpartum Hemorrhage Presenting With Bombay Blood Group: A Case Report.

作者信息

Shaik Likhita, Ravalani Abhimanyu, Devara Janaki, Rathore Sawai Singh, Singh Romil

机构信息

Internal Medicine, Ashwini Rural Hospital and Research Centre, Solapur, IND.

Medical Oncology, Mayo Clinic and Foundation, Rochester, USA.

出版信息

Cureus. 2020 Aug 15;12(8):e9758. doi: 10.7759/cureus.9758.

Abstract

Bombay blood group is a rare blood group. Due to its rarity and limitations for transfusions, it is often challenging to manage individuals with Bombay groups in emergencies. Here, we present a case of a 26-year-old woman with the Bombay blood group who had premature rupture of membranes at the 39th week of pregnancy while delivering a male child vaginally. The patient suffered from postpartum hemorrhage due to retention of the placenta and needed an immediate blood transfusion. During the antenatal screening, she was noted to have the O-positive blood group. Cross-matching of her blood was incompatible with O-positive blood and was identified as the Bombay blood group after having tested for anti-H antibodies. The patient underwent transfusion by identifying individuals with the O-positive Bombay blood group. As a result of this, we emphasize the diagnosis and identification of the individuals with the Bombay blood group and make blood available especially in medical emergencies.

摘要

孟买血型是一种罕见的血型。由于其稀有性和输血限制,在紧急情况下管理孟买血型的个体往往具有挑战性。在此,我们报告一例26岁孟买血型女性病例,她在妊娠39周时胎膜早破,经阴道分娩一名男婴。患者因胎盘残留发生产后出血,需要立即输血。在产前筛查时,她被记录为O型阳性血。对她的血液进行交叉配血时,与O型阳性血不相容,在检测抗-H抗体后被确定为孟买血型。通过识别O型阳性孟买血型个体为该患者进行了输血。因此,我们强调对孟买血型个体的诊断和识别,并确保在医疗紧急情况下有血液供应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c455/7489786/aa24e8bc9122/cureus-0012-00000009758-i01.jpg

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