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自从常规用抗D球蛋白预防以来,ABO血型不合是新生儿最常见的溶血病。罕见的表现是并发重度血管内溶血伴血红蛋白尿,和继发性急性肾衰。病例例1,男婴胎龄41周,40360g。其母健康41岁,3孕3产。患儿正常分娩。前2同胞因ABO不合有早期黄疸无并发症,曾用光疗。该儿入院时黄染,肝脾肿大,生后12小时总胆红素219μmol/L(12.8mg/dl,全部为间接胆红素),开始光疗,当时静脉红细胞压积为56%,网织红细胞8.8%,有核红细
ABO blood group incompatibility has been the most common hemolytic disease in newborns since routine anti-D globulin prophylaxis. Rare manifestations are complicated by severe intravascular hemolysis with hemoglobinuria, and secondary acute renal failure. Case 1, gestational age of male fetus 41 weeks, 40360g. His mother healthy 41 years old, 3 pregnant 3 production. Normal childbirth. For the first 2 siblings due to ABO do not have complications of early jaundice, had used phototherapy. The admissions of yellow dye, hepatosplenomegaly, 12 hours after birth, total bilirubin 219μmol / L (12.8mg / dl, all indirect bilirubin), began phototherapy, when venous hematocrit was 56%, the network Reticulocytes 8.8%, with red nucleus