血型系统:临床洞察与医学实践的相关性

Patrick Osho Olanrewaju, Precious Gbajuola Joy, Oluwole Matthew
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引用次数: 0

摘要

目的:33种血型系统最近获得了国际输血协会的认可。除了ABO和恒河系统外,在红细胞膜上还发现了许多类型的抗原。麻醉医师在围手术期要求的少数重要检查之一是血型和交叉配型。为了避免与输血相关的困难,必须彻底了解血型系统、它们的临床重要性、分型和交叉配型测试以及当前的影响。探讨各种血型系统及其临床意义,以及在输血医学、产前保健、基因检测等医疗实践中的相关性。方法学:利用PubMed、Google Scholar、Scopus等相关数据库检索血型系统相关文献。搜索策略包括与钡研究、横断面成像和低资源经济相关的关键词。这可能包括血型系统、ABO血型、临床意义、医疗实践等术语。搜索词与布尔运算符(AND、OR、NOT)相结合用于检索相关文章。研究结果:血型系统无疑在医疗实践中具有重要的意义,可以预防可能导致婴儿和其他个体死亡的溶血性输血反应和个体血液的同种异体免疫。与输血一样有益的是,必须确定供者和受者的血型系统,以使输血过程安全。血型系统也为医疗实践提供了临床见解,使疾病的诊断和治疗更容易接近。建议:应对卫生保健提供者进行培训,使其能够正确识别和分血型,血库应采取适当的质量控制措施,以确保血型和交叉配型的准确性。参与器官移植的医疗保健提供者应熟悉血型相容性指南,并与血库进行有效沟通,以确保获得相容的供体器官。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Blood Group System: Clinical Insight and Relevance in Medical Practice
Purpose: Thirty three blood group systems have recently received recognition from the International Society of Blood Transfusion. Numerous types of antigens have been found on the red cell membranes in addition to the ABO and Rhesus systems. One of the few significant tests that the anesthesiologist orders during the perioperative period is blood grouping and cross matching. To avoid difficulties associated with transfusions, it is crucial to have a thorough awareness of the blood group system, their clinical importance, typing and cross-matching tests and current implications. To explore the various blood group systems, their clinical significance, and their relevance in medical practice, including transfusion medicine, prenatal care and genetic testing Methodology: Relevant databases such as PubMed, Google Scholar and Scopus to search for literature related to blood group system were used for this study. Search strategy including keywords related to barium studies, cross-sectional imaging and low resource economies. This may include terms such as blood group system, ABO blood group, clinical significance, medical practice. Search terms in combination with Boolean operators (AND, OR, NOT) are used to retrieve relevant articles. Findings: Undoubtedly blood group systems is highly relevant in medical practice so as to prevent haemolytic transfusion reaction and alloimmunization of individual blood which can result to death of infants and other individuals. As beneficial as blood transfusion is blood group system of the donor and recipient must be identified to make the blood transfusion process safe. Blood group systems also gives clinical insights in medical practice which make disease diagnosis and treatment easier to approach. Recommendations: Health care providers should be trained to properly identify and type blood samples and blood banks should have appropriate quality control measures in place to ensure the accuracy of blood typing and cross matching. Healthcare providers involved in organ transplantation should be familiar with the blood group compatibility guidelines and communicate effectively with blood banks to ensure the availability of compatible donor organs.  
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