Reissigl H, Schöntzer D
Infusionsther Klin Ernahr. 1977 Apr;4(2):127-8.
Acute and chronic dangers of blood-transfusion are listed. Three serologic demands in selecting donorblood are identity in the ABO-system compatibility in the Rh-system and a negative cross-match in the mode of a three-step Coombs-test. The often claimed consideration of the Kell-system is shown to be numerical in the background of transfusion-practice. The highest responsibility is taken by the physician in transfusing patients with Coombs-positive auto-immune-diseases in which the cross-match is positive and so present antibodies could be hidden.
列出了输血的急性和慢性风险。在选择供血者血液时,有三项血清学要求:ABO系统相同、Rh系统相容,以及通过三步抗人球蛋白试验进行阴性交叉配血。在输血实践背景下,经常提及的对凯尔血型系统的考虑在数量上是有限的。医生在为抗人球蛋白试验阳性的自身免疫性疾病患者输血时承担着最高责任,因为此时交叉配血呈阳性,可能存在隐藏的抗体。