母儿血型不合的围产期处理(附36例分析)

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母儿血型不合所致新生儿溶血症,是一种与遗传有关的同种被动免疫性疾病.因夫妇血型不配合,通过基因遗传影响子代,造成母儿血型不合,发生流产、早产、死胎、死产及新生儿溶血性黄疸,严重者引起新生儿核黄疸或死亡,偶有幸存者常留下智力低下,神经系统及运动障碍等后遗症.本文回顾性分析了我院住院分娩的36例新生儿溶血症情况,现报道如下.临床资料1988年1月至1990年6月在我院分娩总数7134例,发生新生儿溶血症36例(ABO 溶血30例,Rh 溶血症6例)发病率0.5%年龄最小23岁,最大38岁.孕周最少35周,最多42~(+1)周.初产妇6例,经产妇30例.1 孕育史 Neonatal hemolytic disease caused by maternal and child blood group incompatibility is a kind of genetic related to the same kind of passive immune disease .Because the blood type of the couple is not matched, the offspring are affected by genetic inheritance, resulting in maternal and child blood group incompatibility, miscarriage, premature delivery and stillbirth , Stillbirth and neonatal hemolytic jaundice, severe neonatal kernicterus or death, occasionally survivors often leave mental retardation, nervous system and movement disorders and other sequelae.This article retrospectively analyzed our hospital in 36 cases of childbirth Newborn hemolytic disease, are reported as follows.Clinical data January 1988 to June 1990 in our hospital a total of 7134 cases of childbirth, 36 cases of neonatal hemolytic disease (ABO hemolysis in 30 cases, Rh hemolytic disease in 6 cases) incidence 0.5% The youngest 23 years old, the maximum age of 38. Weeks of at least 35 weeks, up to 42 +1 (+1) weeks. 6 cases of primipara, 30 cases of maternal history
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