Lefebre J, McLellan B A, Coovadia A S
Department of Emergency Services, Sunnybrook Medical Centre, University of Toronto, Ontario, Canada.
Ann Emerg Med. 1987 Dec;16(12):1344-9. doi: 10.1016/s0196-0644(87)80416-x.
The introduction of a blood component system has made Group O unmatched packed red blood cells (G O UPRBCs) available for emergency resuscitation from hypovolemic shock. A seven-year retrospective review is presented, describing the use of 537 units of G O UPRBCs for the resuscitation of 133 trauma patients. This represented 9.1% of all patients admitted to the Regional Trauma Unit who received blood for resuscitation. Ten of 116 patients on whom further blood bank testing was performed developed positive direct antiglobulin tests (seven of these were demonstrated to be negative 48 hours after transfusion); seven of the ten patients had received more than eight units of G O UPRBCs. No clinical complications were encountered. G O UPRBCs are safe and efficient for emergency resuscitation. Non-group O patients receiving eight or more units of G O UPRBCs should not receive unmatched type-specific blood.
血液成分系统的引入使得O型非交叉配血红细胞（G O UPRBCs）可用于低血容量性休克的紧急复苏。本文进行了一项为期七年的回顾性研究，描述了使用537单位的G O UPRBCs对133例创伤患者进行复苏的情况。这占区域创伤病房所有接受输血复苏患者的9.1%。在116例接受进一步血库检测的患者中，有10例直接抗球蛋白试验呈阳性（其中7例在输血后48小时被证明为阴性）；这10例患者中有7例接受了超过8单位的G O UPRBCs。未出现临床并发症。G O UPRBCs用于紧急复苏是安全有效的。接受8单位或更多单位G O UPRBCs的非O型患者不应接受非交叉配血的同型血。
