D Barz, D Staack, R Lehmann, K Stange, K Schnurstein
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引用次数: 0
摘要
我们研究了血小板白细胞消耗和红细胞过滤输注对预防同种异体免疫的价值。在109例血液病患者中,我们采用淋巴细胞毒法和igg - ea -血栓配片法检测HLA和血小板特异性抗体。109例可评估患者中有17例(16%)产生hla抗体(女性9例,男性8例)。17例患者中有16例仅具有hla抗体,1例患者具有血小板特异性同种异体抗体初级免疫。17例因妊娠或其他输注导致免疫高危的患者中有15例出现“二次同种异体免疫”。
[Antibody formation after filtered blood cell replacement in hematologic-oncologic patients].
We studied the value of leucocyte depletion of platelet and erythrocyte transfusion by filter for the prevention of alloimmunization. In 109 patients with hematological diseases we detected HLA- and platelet specific antibodies by using lymphocytotoxic and IgG-EIA-Thrombomatch. In 17 of the 109 evaluable patients (16%) HLA-antibodies developed (9 female and 8 male). 16 of the 17 had only HLA-antibodies and 1 patient a platelet specific alloantibody primary immunisation. 15 of 17 with a high-risk of prior immunization induced by pregnancy or other transfusions had a 'secondary alloimmunization'.