Ov. Kulikova et al., Non-immune resistance to platelet concentration transfusions in patients with aplastic anemia and hemoblastoses, GEMATOL TR, 43(1), 1998, pp. 24-27
In the course of transfusion therapy of thrombocytopenic hemorrhagic syndro
me, patients with blood diseases may develop alloimmune and non-immune resi
stance to the transfused platelets. Low or absent therapeutic efficiency of
transfusions of platelet concentrates may be due to such complicating fact
ors as high fever, splenomegaly, coagulopathy, DIG-syndrome or their combin
ations. The factors induce a low increase of platelet count 1 and 24 hours
after the transfusion, abolish or diminish its therapeutic effect. Clinical
findings are presented on 1280 cases of non-immune resistance which in lin
e with alloimmunization remain a complex and unsolved problem of current tr
ansfusiology.