Säfwenberg J, Högman C F, Cassemar B
Department of Clinical Immunology and Transfusion Medicine, University Hospital, Uppsala, Sweden.
Vox Sang. 1997;72(3):162-8. doi: 10.1046/j.1423-0410.1997.7230162.x.
Faster and less labor-intensive crossmatching procedures are needed, but they must be as safe as the traditional antiglobulin method. We present twelve years' experience with a procedure involving antibody screening, blood group checks, and computerized delivery control (ABCD test).
We use a computer for validation and printing documents and declaring compatibility between patient and blood component, based on screening results and earlier-recorded data about the patient.
Of 257,400 units transfused during the period, 90% were declared compatible through the ABCD procedure, and 10% had to be crossmatched. We observed no hemolytic transfusion complications due to a failure of the procedure to detect red cell alloantibodies. Labor in the testing laboratory was reduced by 65% compared to a previous crossmatching period. Fewer blood units were returned unused.
The procedure using a computerized system as a guard against human mistakes has been found to be safe and reliable and is now widely used in Sweden.
需要更快且劳动强度更低的交叉配血程序，但这些程序必须与传统抗球蛋白法一样安全。我们介绍了一项涉及抗体筛查、血型检查和计算机化交付控制（ABCD检测）程序的十二年经验。
我们使用计算机进行验证、打印文件，并根据筛查结果和患者先前记录的数据声明患者与血液成分之间的相容性。
在此期间输注的257,400单位血液中，90%通过ABCD程序被声明为相容，10%必须进行交叉配血。我们未观察到因该程序未能检测到红细胞同种抗体而导致的溶血性输血并发症。与之前的交叉配血时期相比，检测实验室的劳动力减少了65%。未使用而退回的血液单位更少。
已发现使用计算机化系统防止人为错误的程序是安全可靠的，目前在瑞典广泛使用。
