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患者,男,50岁,已婚。无输血史。主因咳嗽胸闷一个月于1991年8月23日住院。胸片示:左斜裂前上移位,左上叶体积缩小,左肺不张。支气管镜见左上叶新生物完全阻塞管腔,向内侵及下叶开口。咬检报告鳞癌。于1991年9月4日在全麻下行开胸探查术取活检术。术后发热伤口愈合差。临床申请输血,在反定血型时发现患者血清与O细胞凝集。与10例O型正常人细胞分别与患者血清试验,均呈凝集反应。血型血清检查:1.血型鉴定:患者正定型为A_(19) CcDEe, N, P_2型。反定型与A细胞阴性,B细胞阳性,O细胞阳性。2.直接AGT阴性。3.患者血清与O细胞凝集试验:用10例标准O型细胞分别与患者血清做凝集试验,室温下均凝集,4℃增强,37℃消失,在酶和AGT中均呈阴性反应。提
Patient, male, 50 years old, married. No blood transfusion history. The main cough and chest tightness a month in August 23, 1991 hospitalization. Chest X-ray showed: left oblique shift before the shift, left upper lobe size reduced, left atelectasis. Bronchoscopy see the new left upper lobe completely obstruction of the lumen, inward invasion and lower lobe openings. Bite inspection report squamous cell carcinoma. On September 4, 1991 under general anesthesia thoracotomy exploration biopsy. Postoperative fever wound healing is poor. Clinical application of blood transfusion, blood group found in patients with anti-agglutination and O cells. And 10 cases of O-normal human cells were serum tests, were agglutination. Blood type serum examination: 1. Blood type identification: Positive stereotypes of patients with A_ (19) CcDEe, N, P_2 type. Anti-type and A cell negative, B cell positive, O cell positive. 2. Direct AGT negative. 3. Serum and O-cell agglutination test: 10 cases of standard O-type cells were agglutinated with the serum of patients, agglutination at room temperature, enhanced 4 ℃, 37 ℃ disappeared in the enzyme and AGT was negative. mention