溶血危象并输血困难1例

详细信息

收稿日期: 2020-12-28

A case of hemolytic crisis with difficult in blood transfusion

Received Date: 28 December 2020

摘要: 溶血危象患者多表现为在数小时至数天内发生的血红蛋白明显下降，疾病的发生、发展非常急骤，严重者可发生弥散性血管内凝血（DIC）合并多器官损伤，对患者生命造成威胁。本文报道1例发生溶血危象并输血困难的患者，通过稀释法鉴定不规则抗体筛查，选择ABO和Rh分型一致的去白细胞悬浮红细胞联合血浆置换治疗的病例。1资料与方法1.1资料患者，女，36岁，入院前3 d无明显诱因出现头痛，无喷嚏流涕、咳嗽咳痰、腹痛腹泻、尿频尿痛及腰痛等，
- 溶血危象 /
- 输血治疗方案
Abstract: In patients with hemolytic crisis, the hemoglobin is often significantly reduced within a few hours to a few days, and the development of the disease is very rapid.In severe cases, disseminated intravascular coagulation(DIC) combined with multiple organ damage may threaten the lives of patients.This article reports a case of a patient with hemolytic crisis and difficulty in blood transfusion.The dilution method was used to identify irregular antibody screening and selected leukocyte-removed suspended red blood cells with consistent ABO and Rh group combined with plasma exchange therapy.
- hemolytic crisis /
- blood transfusion treatment plan

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