Woodruff Bianca C, Popilevsky Lazar, Mendonca Roni, Girshin Michael
Department of Anesthesiology, Metropolitan Hospital Center, New York, USA.
Cureus. 2022 Feb 24;14(2):e22561. doi: 10.7759/cureus.22561. eCollection 2022 Feb.
Perioperative red blood cell transfusions are common. Antigen screening, performed via indirect Coombs test, is required prior to red blood cell transfusion. False-negative test results can lead to acute or delayed hemolytic transfusion reactions. This case report emphasizes the importance of using life-long alerts in a hospital's electronic medical record system for patients with positive antigen screening to prevent false-negative preoperative antigen results from leading to hemolytic transfusion reactions.
围手术期红细胞输血很常见。在进行红细胞输血前,需要通过间接抗人球蛋白试验进行抗原筛查。假阴性检测结果可能导致急性或迟发性溶血性输血反应。本病例报告强调了在医院电子病历系统中对抗原筛查呈阳性的患者使用终身警报的重要性,以防止术前抗原检测结果假阴性导致溶血性输血反应。