RH negative blood transfusion in patients with the principles and precautions.docVIP

 PAGE \* MERGEFORMAT 5 RH negative blood transfusion in patients with the principles and precautions Author: Zhang Qiang, Shi Anping, Feng Li Zhen, Jin Wei, race day call Gerard [Keywords:] RH negative blood transfusion Principles Notes 1 RH blood group Human red blood cell blood group up more than 20 kinds of the composition of the blood group systems, ABO and RH blood type is most closely with human blood transfusion of two blood group systems, when a person’s red blood cells there is a D blood group substance (antigen) is known as RH positive, with RH (), said that when the lack of D antigen shall be RH negative, with RH (-), said. 2 Distribution RH (-) of the distribution of the distribution of different race vary widely, in the higher proportion of whites in about 15%, or about 4% of black people, the Chinese population of Xinjiang Uygur and other ethnic minorities RH (-) of the distribution of 5%, the Mongolian people close to 1%, the proportion of Han Chinese small, accounting for only 0.3%, is a rare blood type, RH (-) A type, B type, O-, AB-type relationship between the ratio of 3: 3:3:1. 3 Check the necessity of RH blood group [1] RH blood group examination in clinical importance, second only to ABO system in the second, RH blood group incompatibility in blood transfusions are likely to endanger the patient’s life. (1) RH blood group incompatibility of mother and child pregnancy may produce stillbirth, premature delivery, neonatal hemolytic disease. (2) RH-negative people who entered after the RH-positive blood (especially repeated blood transfusion), in RH may occur in serum antibodies, if and then enter the RH-positive blood agglutination can occur, resulting in hemolytic transfusion reaction. (3) RH-negative-positive pregnant women, the fetus, the fetal red blood cells take the opportunity to enter the matrix. RH can also stimulate the mother’s body produces antibodies, even if the first blood transfusion may also cause hemolytic transfu