Physiology · Blood

ABO and Rh blood groups and transfusion principles

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Definition

  • Blood group antigens (agglutinogens) on the RBC membrane and antibodies (agglutinins) in plasma define blood groups; ABO and Rh are the transfusion-important systems.
  • Landsteiner's law: if an agglutinogen is present on the RBC, the corresponding agglutinin is absent from plasma, and vice versa; this fully applies to the ABO system.

ABO Blood Group System

Occurrence of antigens and antibodies in ABO system

Blood group

A

Antigen (on RBC)
A
Antibody (in plasma)
Anti-B

B

Antigen (on RBC)
B
Antibody (in plasma)
Anti-A

AB

Antigen (on RBC)
A and B
Antibody (in plasma)
Nil

O

Antigen (on RBC)
Nil
Antibody (in plasma)
Anti-A and anti-B

Distribution of antigens and antibodies in the ABO system