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KMID : 0374920130340010243
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Inje Medical Journal
2013 Volume.34 No. 1 p.243 ~ p.249
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A Case of The Transfusion of Four Units of RhD Positive RBCs to RhD Negative Patient
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Choi Deul-Nyuck
Cho Kwang-Rae
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Abstract
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The proportion of RhD negative among Caucasians amounts to 16% whereas only 0.1% of Koreans belong to that blood type. Due to that fact, in Korea it is difficult to provide blood of RhD- type during emergencies when it is needed. Furthermore, in some cases the lack of RhD- blood prevents the transfusion from being made at an optimal point. A 38-year-old woman without a history of transfusion tested negative for anti-D in her serum. In emergency situation the patient received four units of RhD+ RBCs after two units of RhD- RBCs transfusion, because there was no more RhD- blood. Anti-D was not detected over 8 days after the transfusion and transfusion reaction was not occurred. The red cells of the patient showed negative result by the standard weak D test.
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KEYWORD
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Anti-D, RhD(D) factor
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