Brandstädter W
Z Gesamte Inn Med. 1977 Jan 15;32(2):23-6.
The notion of transfusion serology comprises also serologic examinations in connection with transfusions of thrombocytes and leucocytes. The minimum demands of serological methods in the German Pharmacopoeia 7 (DAB 7) obligatory nowadays before transfusions of full blood and concentrates of erythrocytes should be changed and enlarged as follows: Obligatory carrying-through of the bed-side-test, inclusion of the ferment- and/or Coombs-test as major test into the cross typing, abolition of the minor test. In connection with the transfusions of leucocytes and thrombocytes determinations of the HLA-antibodies and cross typings are practicable in the institutions of the transfusion service. Transfusion must principally be striven for, taking into consideration the HLA-typing, but at present it is only limitedly possible. The search for donors among relations by blood increases the chances of the serological compatibility. Necessity and scale of an "emergency serology" still need discussion. Optimum haemotherapy is possible only then, when clinics and transfusion service work together in very close coordination.
输血血清学的概念还包括与血小板和白细胞输血相关的血清学检查。德国药典7(DAB 7)中目前在全血和红细胞浓缩物输血前强制要求的血清学方法的最低要求应作如下改变和扩充:强制进行床边检测,将酶和/或抗人球蛋白试验作为主要试验纳入交叉配型,取消次要试验。在白细胞和血小板输血方面,输血服务机构可行HLA抗体测定和交叉配型。输血原则上必须考虑HLA分型,但目前仅在有限程度上可行。在亲属中寻找献血者可增加血清学相容性的机会。“应急血清学”的必要性和规模仍需讨论。只有当临床科室和输血服务机构密切协作时,才有可能实现最佳的血液治疗。