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[克罗地亚输血服务机构免疫血液学实验室的质量控制]

[Quality control in an immunohematology laboratory in the Croatian Transfusion Service].

作者信息

Sarlija D, Balija M, Bosanac I, Hundrić-Haspl Z, Tomicić M, Grgicević D

机构信息

Hrvatski zavod za transfuzijsku medicinu, Zagreb.

出版信息

Lijec Vjesn. 1995 Jan-Feb;117(1-2):19-23.

PMID:7651064
Abstract

In order to evaluate the testing proficiency in immunohematological laboratories in Croatia blood samples were prepared and fully examined in the Croatian Institute for Transfusion Medicine and sent to all the transfusion laboratories in the country. The laboratories were asked to perform the following tests: determination of AB0 blood group and Rh phenotype; detection and identification of irregular antibodies and crossmatches between serum and RBCs. All the laboratories (100%) accurately determined AB0 and Rh(D) negative blood groups and crossmatch between compatible serum and RBCs. In 80.65% of the laboratories, Rh(Du) blood group was accurately determined. The incompatibility between serum and Rh(Du) RBCs in crossmatch was detected in 93.55% of the laboratories. 96.77% laboratories correctly detected irregular antibodies. Only 35.48% of the laboratories accurately identified anti-D and anti-C alloantibodies in the serum, 32.26% failed to identify one of the two antibodies and 29.03% of the laboratories detected irregular antibodies but did not identify their specificity. Only 35.48% of the laboratories correctly performed all the tasks.

摘要

为评估克罗地亚免疫血液学实验室的检测水平,克罗地亚输血医学研究所制备并全面检测了血样,然后将其分发给该国所有输血实验室。要求各实验室进行以下检测:ABO血型和Rh表型测定;不规则抗体的检测与鉴定以及血清与红细胞之间的交叉配血。所有实验室(100%)均准确测定了ABO和Rh(D)阴性血型以及相容血清与红细胞之间的交叉配血。80.65%的实验室准确测定了Rh(Du)血型。93.55%的实验室检测到交叉配血中血清与Rh(Du)红细胞之间的不相容性。96.77%的实验室正确检测到不规则抗体。只有35.48%的实验室准确鉴定出血清中的抗-D和抗-C同种抗体,32.26%的实验室未能鉴定出两种抗体中的一种,29.03%的实验室检测到不规则抗体但未鉴定出其特异性。只有35.48%的实验室正确完成了所有任务。

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