心肺血管病杂志2024,Vol.43Issue(5) :447-450,468.DOI:10.3969/j.issn.1007-5062.2024.05.004

先天性心脏病患儿血型及抗体分布研究

Study on blood group and antibody distribution in children with congenital heart disease

侯玉涛 韩建国 常莹 陈楠 车辑
心肺血管病杂志2024,Vol.43Issue(5) :447-450,468.DOI:10.3969/j.issn.1007-5062.2024.05.004

先天性心脏病患儿血型及抗体分布研究

Study on blood group and antibody distribution in children with congenital heart disease

侯玉涛 1韩建国 1常莹 1陈楠 1车辑1
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作者信息

  • 1. 100029 首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所 输血科
  • 折叠

摘要

目的:分析先天性心脏病患儿ABO、Rh、MN血型和抗体分布规律,更精准安全的为临床提供血液.方法:收集2023年1月至2023年11月,来我院行先天性心脏病手术患儿病历资料和备血标本,对备血标本进行ABO血型、Rh(C、c、D、E、e抗原)血型、MN血型和抗体筛选检测,抗体筛选阳性患儿进行抗体特异性鉴定.结果:ABO血型分布频率特征为O型(32.1%)>B型(29.2%)>A型(24.9%)>AB型(13.8%),其中O型患儿531例在ABO血型中所占比例最高;Rh血型抗原阳性率为 D(99.4%)e(93.9%)C(88.5%)c(62.9%)E(50.5%),Rh D 阳性患儿 Rh 表型分布情况为 Ccee(25.5%)CcEe(22.9%)CCee(18.3%)CCEe(16.8%)ccee(5.5%)ccEe(5.1%)CCEE(2.0%)ccEE(0.7%),RhD阴性患儿最常见的分型是ccee(占比30%);MN血型M抗原阳性率 78.4%,N 抗原阳性率 71.8%,MN 血型构成 MN(50.2%)MM(28.2%)NN(21.6%);不规则抗体筛查阳性率为1.3%,最常见的是抗-M(64.3%).结论:临床上先天性心脏病患儿最常见的血型为O型、RhD阳性Ccee表型、MN型,而抗-M是最常见的不规则抗体.

Abstract

Objective:To analyze the distribution of ABO,Rh,MN blood groups and antibodies in children with congenital heart disease in order to more precisely and safely supply blood for the clinic.Methods:We collected medical records and blood samples of children who underwent operations for congenital heart disease at our hospital between January 2023 and November 2023.The blood samples were tested for ABO blood type,Rh(C,c,D,E,and e antigen)blood type,MN blood type,and antibody screening.Antibody specificity was identified for children with positive antibody screening.Results:The distribution frequency of ABO blood group types was O type(32.1%)>B type(29.2%)>Atype(24.9%)>AB type(13.8%).Among the ABO blood groups,531 children with O type accounted for the highest proportion.The distribution frequency of Rh blood group antigens was D(99.4%)>e(93.9%)>C(88.5%)>c(62.9%)>E(50.5%).In children who tested positive for Rh D,the distribution frequency of Rh was Ccee(25.5%)>CcEe(22.9%)>C cEe(18.3%)>CCEe(16.8%)>CCee(5.5%)>ccEe(5.1%)>CCEe(2.0%)>ccEE(0.7%).The redominant RhD-negative phenotype among children was ccee(30%).Within the MN blood group,the positive rate for the M antigen was 78.4%,while the N antigen exhibited a positive rate of 71.8%,the composition of MN blood group was MN(50.2%)>MM(28.2%)>NN(21.6%).The positive rate of irregular antibody screening was 1.3%,and anti-M was the most common in 64.3%.Conclusions:In children with congenital heart disease,the predominant blood groups include O type,Rh-positive Ccee phenotype,and MN blood type.The most prevalent irregular antibody is anti-M.

关键词

先天性心脏病/ABO血型/Rh血型/MN血型/抗体

Key words

Congenital heart disease/ABO blood group/Rh blood group/MN blood group/Antibody

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出版年

2024
心肺血管病杂志
北京市心肺血管疾病研究所,首都医科大学附属北京安贞医院

心肺血管病杂志

CSTPCD
影响因子:1.214
ISSN:1007-5062
参考文献量8
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