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目前,治疗新生儿溶血病常用药物疗法和光照疗法,但对于重症新生儿溶血病则效果不佳。近日,我们对2例重症新生儿溶血病患者,采用了换血疗法,效果显著,现摘录如下。 例1:男,系G3P3足月顺产。1992年11月28日因出生后24小时内出现重度黄疸,拒乳入院。前两胎均因重度黄疸、抽搐死亡。查体:新生儿貌,重度黄疸。体重2500g。一般反应欠佳,呻吟、惊厥,两肺呼吸音略粗,心率168次/分,体温41℃。实验室检查:Hb160g/L,总胆红素604.5μmol/L,直接胆红素58.5μmol/L。临床诊断为核黄疸早期,血型血清学检查:患儿直
At present, the treatment of neonatal hemolytic disease commonly used drug therapy and light therapy, but for severe neonatal hemolytic disease is not effective. Recently, we have 2 cases of severe hemolytic disease in newborns, the use of transfusion therapy, the effect is significant, are excerpted below. Example 1: Male, Department of G3P3 full-term follow-up. November 28, 1992 due to severe jaundice within 24 hours after birth, refused to milk admission. The first two were due to severe jaundice, convulsions died. Physical examination: neonatal appearance, severe jaundice. Weight 2500g. General poor response, moaning, convulsions, lung sounds slightly rough tone, heart rate 168 beats / min, body temperature 41 ℃. Laboratory tests: Hb160g / L, total bilirubin 604.5μmol / L, direct bilirubin 58.5μmol / L. Clinical diagnosis of early kernicterine, blood group serological examination: children straight