Shulman I A, Nelson J M, Saxena S, Thompson J C, Okamoto M, Kent D R, Nakayama R K
Am J Clin Pathol. 1984 Aug;82(2):178-81. doi: 10.1093/ajcp/82.2.178.
Three years' experience with the routine use of an abbreviated crossmatch procedure is reported. If a patient had no known history of and/or no currently demonstrable unexpected antibodies, ABO and Rh type specific blood was crossmatched at the time of need by using an immediate spin saline abbreviated crossmatch. Once blood was issued, both a 37 degrees C incubation and an antiglobulin crossmatch were done using the same tube employed for the abbreviated crossmatch. This served as a check that clinically significant antibodies were not overlooked. None of the 19,818 patients transfused following an abbreviated crossmatch suffered an acute hemolytic transfusion reaction as a result of this strategy; however, two patients may have manifested asymptomatic hemolysis. This approach to compatibility testing might be appealing to hospitals faced with fiscal limitations and new regulations affecting hospital reimbursement.
本文报告了三年来常规使用简化交叉配血程序的经验。如果患者没有已知的且当前未检测到意外抗体的病史，在需要时，通过立即离心盐水简化交叉配血法对ABO和Rh血型特异性血液进行交叉配血。一旦血液发出，使用与简化交叉配血相同的试管进行37℃孵育和抗球蛋白交叉配血。这可作为一种检查，以确保未遗漏具有临床意义的抗体。采用简化交叉配血法输血的19818例患者中，无一例因该策略发生急性溶血性输血反应；然而，有两名患者可能出现了无症状溶血。这种相容性检测方法可能会吸引面临财政限制和影响医院报销的新规定的医院。
