红细胞增多症的早期诊断

• 作 者: 张巍 王汝琪 赵玉芳
• 机 构: 北京妇产医院,北京妇产医院,北京医院 医师
• 出 处: 新生儿科杂志
• 发表日期: 1989年04期
• 关键词: 红细胞增多症 红细胞压积 早期新生儿 早期诊断 皮肤弹性 皮肤干燥 静脉血 胎龄 合并症 血红蛋白

红细胞增多症是早期新生儿较常见疾病,发病率在2～5％,可造成严重的合并症,甚至神经系统的永久损害及死亡。早期诊断、及时治疗是避免、减少合并症发生的积极措施。我院1986年及1988年诊断了88例红细胞增多症,报告如下。临床资料临床发现患儿大多表现为两种情况:即皮肤干燥、弹性欠佳及皮肤弹性正常,故将前者为Ⅰ组,28例;后者为Ⅱ组,60例。 1.诊断标准:微量(外周血)红细胞压积≥75％或静脉血红细胞压积≥65％。 2.胎龄及体重分布:胎龄在34～43周范围,小于37周的(均为Ⅱ组)为总数的

Polycythemia is a common disease in early neonates, the incidence of 2 to 5%, can cause serious complications, and even permanent damage to the nervous system and death. Early diagnosis, timely treatment is to avoid and reduce the incidence of complications of positive measures. 88 cases of polycythemia were diagnosed in our hospital in 1986 and 1988, the report is as follows. Clinical data Mostly found in children with clinical findings in two cases: dry skin, poor elasticity and normal skin elasticity, it will be the former group Ⅰ, 28 cases; the latter for the group Ⅱ, 60 cases. 1. Diagnostic criteria: trace (peripheral) hematocrit ≥75% or venous hematocrit ≥65%. 2. Gestational age and weight distribution: gestational age in the range of 34 to 43 weeks, less than 37 weeks (both group Ⅱ) for the total