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母胎输血检测方法概述。

Overview of detection methods of fetomaternal haemorrhage.

作者信息

Li Xinyang, Li Changfei, Liu Tiemei

机构信息

Department of Blood Transfusion, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.

Patient Service Center, The Second Hospital of Jilin University, Changchun, Jilin, China.

出版信息

Front Physiol. 2025 Apr 11;16:1445757. doi: 10.3389/fphys.2025.1445757. eCollection 2025.

DOI:10.3389/fphys.2025.1445757
PMID:40292007
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12021815/
Abstract

Fetomaternal haemorrhage is the same immunity that occurs when foetal and maternal blood are incompatible. It is critical to accurately quantify maternal haemorrhaging in order to prevent hemolytic disease in the infant. At this time, the rosette test and K-B test are the most frequently used techniques for detecting foetal red blood cells in the mother's blood. However, the sensitivity of the rosette test is low, and due to its complex operation and high subjectivity, the K-B test cannot be used as a routine clinical detection method. This review therefore focuses primarily on the clinical landscape and future prospects of methods for detecting fetomaternal haemorrhage. In a general sense, this may bring to light the most promising strategy and encourage the development of technology for fetomaternal haemorrhage in order to guarantee the early detection and prevention of hemolytic disease in newborns.

摘要

胎儿-母体出血是指胎儿和母体血液不相容时发生的同种免疫反应。准确量化母体出血对于预防婴儿溶血病至关重要。目前,玫瑰花结试验和K-B试验是检测母体血液中胎儿红细胞最常用的技术。然而,玫瑰花结试验的灵敏度较低,且K-B试验操作复杂、主观性强,不能作为常规临床检测方法。因此,本综述主要关注检测胎儿-母体出血方法的临床现状和未来前景。一般来说,这可能会揭示最有前景的策略,并推动胎儿-母体出血检测技术的发展,以确保早期发现和预防新生儿溶血病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16d1/12021815/8adf01c2a8f1/fphys-16-1445757-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16d1/12021815/8adf01c2a8f1/fphys-16-1445757-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16d1/12021815/8adf01c2a8f1/fphys-16-1445757-g001.jpg

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Front Physiol. 2025 Apr 11;16:1445757. doi: 10.3389/fphys.2025.1445757. eCollection 2025.
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本文引用的文献

1
Routine maternal ABO/Rhesus D blood typing can alert of massive foetomaternal haemorrhage.常规的母体 ABO/RhD 血型定型检查可提示是否发生大量胎儿-母体出血。
Vox Sang. 2024 Oct;119(10):1111-1115. doi: 10.1111/vox.13718. Epub 2024 Jul 24.
2
HPLC and flow cytometry combined approach for HbF analysis in fetomaternal haemorrhage evaluation.高效液相色谱法与流式细胞术联合用于胎儿-母体出血评估中血红蛋白F分析的方法
Pract Lab Med. 2024 May 16;40:e00401. doi: 10.1016/j.plabm.2024.e00401. eCollection 2024 May.
3
Risk factors and fetomaternal outcome in pregnancy-related acute kidney injury.
妊娠相关急性肾损伤的危险因素及母胎结局
J Family Med Prim Care. 2023 Dec;12(12):3346-3350. doi: 10.4103/jfmpc.jfmpc_924_23. Epub 2023 Dec 21.
4
Development of a new staining protocol for the Kleihauer-Betke test to facilitate the reading of difficult cases.开发一种新的 Kleihauer-Betke 测试染色方案,以方便阅读困难病例。
BMC Pregnancy Childbirth. 2024 Jan 29;24(1):89. doi: 10.1186/s12884-024-06258-9.
5
Massive fetomaternal hemorrhage: A case report.巨大胎母输血综合征:1 例报告。
Z Geburtshilfe Neonatol. 2024 Aug;228(4):382-385. doi: 10.1055/a-2238-3217. Epub 2024 Jan 29.
6
Massive fetomaternal haemorrhage warranting novel use of tandem isovolumetric partial exchange transfusion and therapeutic hypothermia.大量胎儿-母体输血需要新型串联等容部分换血术和治疗性低温的应用。
BMJ Case Rep. 2023 Dec 30;16(12):e256634. doi: 10.1136/bcr-2023-256634.
7
Maternal and fetal outcomes of intraplacental choriocarcinoma complicated by fetomaternal hemorrhage: a systematic review.胎盘绒毛膜癌合并胎儿-母体出血的母婴结局:系统评价。
J Matern Fetal Neonatal Med. 2023 Dec;36(2):2285238. doi: 10.1080/14767058.2023.2285238. Epub 2023 Nov 27.
8
Immunohematological testing and transfusion management of the prenatal patient.产前患者的免疫血液学检测与输血管理。
Adv Clin Chem. 2023;117:163-208. doi: 10.1016/bs.acc.2023.08.002. Epub 2023 Sep 19.
9
Prevention of Rhesus-D Alloimmunization in the First Trimester of Pregnancy: Economic Analysis of Three Management Strategies.预防妊娠早期 RhD 同种免疫:三种管理策略的经济分析。
Transfus Med Rev. 2024 Jan;38(1):150778. doi: 10.1016/j.tmrv.2023.150778. Epub 2023 Oct 14.
10
Spontaneous massive fetomaternal hemorrhage: two case reports and a literature review of placental pathology.自发性巨大胎母输血:两例病例报告及胎盘病理学文献复习。
BMC Pregnancy Childbirth. 2023 Jul 21;23(1):530. doi: 10.1186/s12884-023-05826-9.