RESUMO
Objective To explore the clinical diagnostic value of polyclonal all immunoglobulin.Methods The specimens of pa-tients were simultaneously tested and identified by quantitative immunoglobulins,Immunofixation electrophoresis of serum and u-rine,urine protein electrophoresis,and other ways.Results From 1 patients with rheumatoid arthritis were detected the serum IgG, M,A,KAP and LAM,and urine KAP and LAM,at the same time show the increment of the polyclonal polyclonal all immune glob-ulin hematic disease.Conclusion Polyclonal all immune globulin hematic disease often appear in the complications of chronic in-flammation,which should be paid attention during its in clinical doctors.
RESUMO
Objective Establishing a trapezoid micro-plate method to detect ABO blood group in serum.Methods Select 32 blood samples containing A,B,O or AB types randomly.Use orthogonal design principle to select the optimum conditions of the blood plasma dilution,erythrocytes density,temperature and static time.The mix-blood samples are serially diluted.The agglutinating and nonagglutinating gray zones are also defined.Based on the optimum conditions and criterions,the reproducibility test,sensitiveness test,accuracy test,lipaemia interference test and haemolysis interference test are carried out.6 ABO subgroup(AM,AX,A2B,A3B,AXB,BM) and 5 irregular antibody(anti-M,anti-N,anti-P1,anti-Leb,anti-HI) are detected to evaluate the ability of the trapezoid micro-plate method to detect special samples.Results The trapezoid micro-plate method's repetitiveness tests coincidence is 100%.Its sensitivity is identical to the test tube method.The accuracy is 99.99%.In the 47 various kinds of lipaemia blood samples' anti-interference tests,the correct interpretation at one time is 100%.In the haemolysis interference tests,when hemoglobin content are below 20g/L,there are no obvious influences found.When sever haemolysis appears(blood plasma hemoglobin content are above 20g/L),there is no effect on the agglutination,but make a difference to the nonagglutinating.The ability to dectect 6 ABO blood subgroups and 5 irregular antibody blood samples is great.Conclusion The trapezoid micro-plate method not only has good ability to detect the ABO blood group both in the red cell typing and serum typing,but also enhances the accuracy in detecting the agglutinating blood samples and improves the exactitude of the tests.
RESUMO
Objective To investigate whether the biochemical function and morphology of stored outdated erythrocytes were able to be restored to normal levels.Methods The experiments were carried out with 4 groups of erythrocytes. Group 1 consists of post-rejuvenated erythrocytes, which were harvested by incubating twice washed stored erythrocytes on the 3 rd day after outdate at 37℃ for 1h, with a rejuvenating solution containing adenine 5mmol/L, inosine 100mmol/L, pyruvate 100mmol/L, phosphate 103mmol/L. Group 2 was pre-rejuvenate erythrocytes, obtained by washing stored erythrocytes on the 3rd day after outdate. Group 3 was saline control erythrocytes, which were incubated with 0.9% saline. Group 4 was freshly collected erythrocytes used as normal controls. ATP, 2, 3-DPG, morphology scores, MCV, osmotic fragility, and hemoglobin content of RBC in four groups were measured.Results The post-rejuvenate RBC ATP [(3.41?0.52)?mol/gHb] was significantly higher(P0.05) compared with fresh RBC [(3.45?0.51)?mol/gHb].The post-rejuvenate RBC 2,3-DPG [(14.08?3.10)?mol/gHb] was significantly higher(P0.05) compared with fresh RBC [(14.87?3.10)?mol/gHb].The post-rejuvenation morphology score(130.00?10.80) was significantly greater (P0.05) compared with fresh RBC (120.00?5.00). The post-rejuvenate mean corpuscular volume [(89.30? 7.20)fl] was significantly lower (P0.05). The hemoglobin shed in vesicles during rejuvenation was significantly greater than that in the saline control [(0.51?0.33)vs(0.20?0.18)mg/dl RBCs;P
