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血小板输注无效和抗 HLA 免疫。

Platelet transfusion refractoriness and anti-HLA immunization.

机构信息

Histocompatibility and Immunogenetics Laboratory, Clermont-Ferrand University Hospital, Clermont-Ferrand, France.

Oncology Department, Clermont-Ferrand University Hospital, Clermont-Ferrand, France.

出版信息

Transfusion. 2021 Jun;61(6):1700-1704. doi: 10.1111/trf.16358. Epub 2021 Mar 11.

DOI:10.1111/trf.16358
PMID:33709433
Abstract

Platelet transfusion refractoriness (PTR), defined as an unsatisfactory post-transfusion platelet count increment, is a common complication of patients receiving multiple transfusions. Different strategies are described in the management of PTR. In this work, we demonstrate the efficacy of the detection and identification of anti-HLA antibodies in the recipient using a threshold of 3000 mean fluorescence intensity (MFI), and the seek of donors not expressing HLA antigens against which the patient is immunized.

摘要

血小板输注无效(PTR)定义为多次输注患者输血后血小板计数增加不理想,是一种常见并发症。在 PTR 的管理中描述了不同的策略。在这项工作中,我们证明了使用 3000 平均荧光强度(MFI)的阈值来检测和识别受者中的抗 HLA 抗体,并寻找不表达针对患者免疫的 HLA 抗原的供体的有效性。

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Platelet transfusion refractoriness and anti-HLA immunization.血小板输注无效和抗 HLA 免疫。
Transfusion. 2021 Jun;61(6):1700-1704. doi: 10.1111/trf.16358. Epub 2021 Mar 11.
2
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[Platelet transfusion refractoriness and effective management of platelet alloimmunization].[血小板输注无效与血小板同种免疫的有效管理]
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Platelet transfusion refractoriness.血小板输注无效
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Human leukocyte antigen (HLA)-incompatible mean fluorescence intensity-selected platelet products have corrected count increments similar to HLA antigen-matched platelets.人类白细胞抗原 (HLA)-不相容的平均荧光强度选择血小板产品的校正计数增加与 HLA 抗原匹配的血小板相似。
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Existence and significance of anti-HLA-C autoantibodies to primary and persistent platelet transfusion refractoriness in patients with hematologic disorders: a retrospective study from a single centre.血液系统疾病患者中抗HLA-C自身抗体对原发性和持续性血小板输注无效的存在及其意义:一项单中心回顾性研究
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Platelet HLA gene bank digital matching technology for platelet transfusion refractory patients with malignant tumors: a case report.
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