A patient has poor corrected count increments after two ABO-… | 마이메르시 MyMerci
Blood Banking · 수혈의학
문제
A patient has poor corrected count increments after two ABO-compatible platelet transfusions. Fever, bleeding, DIC, and splenomegaly are excluded, and strong HLA class I antibodies are detected. Which product strategy is most appropriate?
1Continue random platelets without monitoring
2Use washed red cells instead of platelets
3Select only RhD-negative plasma
4Provide compatible platelets selected by HLA matching or antibody specificity✓ 정답
해설
When nonimmune causes are excluded and HLA antibodies support immune refractoriness, HLA-matched or antibody-compatible platelets can improve the chance of an adequate increment.
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