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患儿女,10岁。因面色苍黄、恶心、乏力两个月,于1992年3月3日入院。患儿曾在当地以溶血性贫血治疗一个月,输血1000ml,好转出院。出院后第二天患儿突然恶心、乏力、高热而入我院。查体:体温39℃,心率136次/分,呼吸38次/分,精神极差,烦躁呻吟,面色苍黄,口唇苍白,重度贫血貌。入院后化验检查结果:血色素进行性下降,最低为27g/L,网织红细胞0.23,间接胆红素高,冷凝集试验1:128,coomb’s直接阳性。 患儿入院后,除给予抗生素抗感染治疗外,积极给予成份输血,以输入洗涤红细胞为主,使患儿贫血及时得以改善。输血前给予地塞米松适量静脉推注。成份输血速度宜快,并密切观察病儿有无输血反应,如出现寒战、高热及荨麻疹等应及时进
Children with children, 10 years old. Due to looking pale, nausea, fatigue for two months, on March 3, 1992 admitted. Children with hemolytic anemia in the local treatment of a month, blood transfusion 1000ml, improved discharged. The second day after discharge the child suddenly nausea, fatigue, fever and into our hospital. Physical examination: body temperature 39 ℃, heart rate 136 beats / min, breathing 38 beats / min, very poor spirit, irritability, moaning, pale yellow, pale lips, severe anemia appearance. Laboratory tests after admission: hemoglobin decreased, the lowest 27g / L, reticulocytes 0.23, indirect high bilirubin, cryogenic coagulation test 1: 128, coomb’s direct positive. Children admitted to hospital, in addition to given anti-infective antibiotics, positive blood transfusions to enter the main washing red blood cells, so that children with anemia in time to be improved. Give dexamethasone a proper amount of intravenous bolus before transfusion. Components of blood transfusion speed should be fast, and close observation of children with or without transfusion reactions, such as chills, fever and urticaria should be promptly into