论文部分内容阅读
用Ｒｈ阳性血换血治疗２１例新生儿Ｒｈ溶血病获得成功。血液选用ＡＢＯ与婴儿同型的肝素抗凝血，换血前严格做血交叉和抗人球蛋白试验，不测献血员Ｒｈ血型，换血量为２００ｍｌ／ｋｇ。换血后大多数婴儿黄疸无明显加重，仅２例因血清胆红素＞３４０μｍｏｌ／Ｌ而需第２次换血；有７例换血后Ｈｂ＜１３０ｇ／Ｌ而给输血。所有病例均痊愈出院，平均住院天数为（１５±７）天，出院时均无黄疸及贫血。在得不到Ｒｈ阴性血，或病情紧急时，用Ｒｈ阳性血换血治疗，若应用得当，是一项安全有效的替代措施
Rh-positive blood transfusions in 21 cases of Rh hemolytic disease was successful. Blood selection of ABO and the same type of infant heparin anticoagulant blood, blood transfusion before strictly do the blood cross and anti-human globulin test, unexpected blood donors Rh blood type, blood exchange volume of 200ml / kg. Most babies with jaundice after exchanging blood had no obvious aggravating, only 2 cases needed to exchange blood for the second time because of serum bilirubin> 340μmol / L; 7 cases transfused blood after Hb <130g / L after exchanging blood. All patients were cured and discharged. The average length of hospital stay was (15 ± 7) days and no jaundice and anemia were found at discharge. In the absence of Rh-negative blood, or the condition of an emergency, with Rh-positive blood transfusions, if properly applied, is a safe and effective alternative