Documente Academic
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Produse de sange
Definitii
In functie de repartitie:
1
Sisteme de grupe sanguine:
Sistemul ABO
2
Incompatibilitate in sistemul ABO
3
Identificare anticorpi
4
Sistemul Rhesus
Genotip= 2 haplotipuri
D, Cc, Ee
Testare pretransfuzionala
- grupajul
- anticorpi antieritrocitari
- compatibilitatea
Compatibilitatea pretransfuzionala
Minora mai putin uzuala in practica plasma donorului plus celulele primitorului
5
In urgenta, RH negative
Alte Ag eritrocitare
Immunologic
- Alloimmunization to:
Red cell antigens
HLA antigens
Platelet-specific antigens
6
Neutrophil-specific antigens
- Hemolytic transfusion reactions
Acute
Delayed
- Febrile nonhemolytic transfusion reactions
- Transfusion-related acute lung injury
- Allergic transfusion reactions
- Posttransfusionpurpura
- Immunomodulatory effects
- Graft-versus-host disease
Nonimmunologic
- Volume overload
- Massive transfusion
Metabolic
Hypothermia
Dilutional
Pulmonary microembolization
- Miscellaneous
Plasticizers
Transfusion hemosiderosis
Infectious
Hepatitis: A, B, C, delta, other
Human immunodeficiency virus-1/-2
Human T-lymphotropic virus-I/-II
Syphilis
Cytomegalovirus
Epstein-Barr virus
West-Nile virus
Parasites: malaria, Babesia, trypanosomes
Variant Creutzfeldt-Jakob disease
Bacterial contamination
Other organisms
7
Donarea de sange
Donatorii:
-persoane sanatoase 18- 70 ani, anamneza , ex clinic (TA), testati serologic pt HIV,
HTLV, VHC, VHB, lues
Donarea:
Registru donatori
Informatii personale complete (fiziologice, patologice; viata sexuala,
consummator droguri, medicatie, imunizari, etc)
Ex clinic varsta, semen vitale, status cardiovascular, semen infectie,
Hb>12.5g/dl.
Teste virale:
-Ag HBs
8
Ac de calibru mare curgere rapida
Colectare in punga de plastic sterila
Plus anticoagulant
Plus solutie nutritiva
450-500ml
Separare centrifugare
Complicatiile donarii