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两种不同方法在新生儿溶血病诊断中的应用分析

Analysis of Two Different Methods in the Diagnosis of Hemolytic Disease of the Newborn

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【作者】 杨培珂卜祥茂

【Author】 YANG Pei-ke;BU Xiang-mao;Jiaozhou Women and Children Health Hospital;

【机构】 胶州市妇幼保健院青岛市妇女儿童医院

【摘要】 目的:观察比较酸放散与冷冻复融放散两种不同试验方法在新生儿ABO溶血病检测中的应用效果。方法:收集209例新生儿高胆红素血症血标本,同时进行酸放散和冷冻复融放散试验,比较两者间的差异及与临床诊断的吻合度。结果:酸放散阳性64例,阴性145例;冷冻复融阳性63例,阴性146例。两种检测方法总阳性率比较,差异无统计学意义(P>0.05),但在阳性程度上酸放散明显高于热放散。结论:酸放散是一种诊断新生儿ABO溶血病较好的检测方法。

【Abstract】 Objective:To investigate the efficacy of acid elution and frozen-thawed elution test in detecting hemolytic disease of the newborn caused by ABO incompatibility.Method:209 cases of blood samples from newborns with hyperbilirubinemia were collected.Antibody molecules bound to red blood cell membrane were released by acid elution test or frozen-thawed elution test respectively.Then the difference and consistency with clinical diagnosis between two methods were analyzed.Result:In the group of using acid elution method,64 cases were positive(positive rate,30.62%),and 63 cases were positive in frozenthawed elution group(positive rate,30.14%).There was no significant difference between two methods(P>0.05).However,the degree of positivity with acid elution was stronger than with frozen-thawed elution.Conclusion:Acid elution is a better method in diagnosing hemolytic disease of the newborn caused by ABO incompatibility.

【关键词】 新生儿ABO溶血病冷冻复融酸放散
【Key words】 NewbornABO hemolytic diseaseFrozen–thawedAcid elution
  • 【文献出处】 中外医学研究 ,Chinese and Foreign Medical Research , 编辑部邮箱 ,2014年10期
  • 【分类号】R722.18
  • 【被引频次】1
  • 【下载频次】46
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