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红细胞不规则抗体的特异性及分布特征分析

Analysis of Specificity and Distribution Characteristics of Red Blood Cell Irregular Antibodies.

作者信息

Ni Hui, Sun Xiaoye, Cong Hui

机构信息

Department of Blood Transfusion, Affiliated Hospital of Nantong University, Nantong, China.

出版信息

Lab Med. 2023 Sep 5;54(5):507-511. doi: 10.1093/labmed/lmac160.

DOI:10.1093/labmed/lmac160
PMID:36810696
Abstract

OBJECTIVE

The presence of red blood cell (RBC) irregular antibodies can severely jeopardize mother and child and bring trouble to the treatment of anemia. The aim of this study was to analyze the specificity of RBC irregular antibody in inpatients.

METHODS

An analysis was performed on samples from patients with RBC irregular antibodies. Antibody screening positive samples were analyzed.

RESULTS

Among the 778 cases of irregular antibody positive samples, 214 were from males and 564 from females. History of blood transfusion accounted for 13.1% of the total. Of the women, 96.8% had a pregnancy. A total of 131 antibodies were identified. The antibodies included 68 Rh systematic antibodies, 6 MNS systematic antibodies, 6 Lewis systematic antibodies, 2 Kidd systematic antibodies, 10 autoantibodies, and 39 antibodies of uncertain specificity.

CONCLUSION

Patients with blood transfusion or pregnancy history are prone to produce RBC irregular antibodies.

摘要

目的

红细胞(RBC)不规则抗体的存在会严重危及母婴,并给贫血治疗带来麻烦。本研究旨在分析住院患者中RBC不规则抗体的特异性。

方法

对红细胞不规则抗体患者的样本进行分析。对抗体筛查呈阳性的样本进行分析。

结果

在778例不规则抗体阳性样本中,男性214例,女性564例。输血史占总数的13.1%。在女性中,96.8%有过妊娠史。共鉴定出131种抗体。这些抗体包括68种Rh系统抗体、6种MNS系统抗体、6种Lewis系统抗体、2种Kidd系统抗体、10种自身抗体和39种特异性不确定的抗体。

结论

有输血或妊娠史的患者容易产生红细胞不规则抗体。

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Analysis of Specificity and Distribution Characteristics of Red Blood Cell Irregular Antibodies.红细胞不规则抗体的特异性及分布特征分析
Lab Med. 2023 Sep 5;54(5):507-511. doi: 10.1093/labmed/lmac160.
2
Comparison of the Detection Rate and Specificity of Irregular Red Blood Cell Antibodies Between First-Time Pregnant Women and Women With a History of Multiple Pregnancies Among 18,010 Chinese Women.18010 例中国女性中初次妊娠与多次妊娠女性间不规则红细胞抗体的检出率和特异性比较。
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Evaluation of nonspecific reactivity rates across three immunohematology testing platforms with assessment of subsequent specific alloantibody development.评估三个免疫血液学检测平台的非特异性反应率,并评估随后特异性同种抗体的产生情况。
Transfusion. 2025 May;65(5):978-984. doi: 10.1111/trf.18256. Epub 2025 Apr 18.
2
Comparison of the Detection Rate and Specificity of Irregular Red Blood Cell Antibodies Between First-Time Pregnant Women and Women With a History of Multiple Pregnancies Among 18,010 Chinese Women.18010 例中国女性中初次妊娠与多次妊娠女性间不规则红细胞抗体的检出率和特异性比较。
J Pregnancy. 2024 May 31;2024:5539776. doi: 10.1155/2024/5539776. eCollection 2024.