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患儿系双胎,足月剖宫产,由产科婴儿室转入我科。长子(供血者),Apgar评分8分;体重1.75kg,一般情况差,哭声低,贫血貌,呼吸稍促,心率150次/min,余正常。生后2hRBC2.5×10~(12)/L,Hb75g/L,生后6h为1.7×10~(12)/L及50g/L;红细胞压积33％,WBC64×10~9/L,N0.39,L0.15;有核红细胞0.46。拟诊双胎间输血综合征,新生儿贫血,败血症,低出生体重儿。给置暖箱,抗感染,输父血,能量合剂等。两天后出现硬肿,面积约34％,肺部
Children with twin fetuses, full-term cesarean section, transferred from obstetrical baby room to our department. The eldest son (blood donor), Apgar score 8; weight 1.75kg, the general situation is poor, crying low, anemic appearance, breathing slightly, heart rate 150 beats / min, more than normal. After 2h, the rates of RBC 2.5 × 10 ~ (12) / L, Hb 75g / L, postoperative 6h 1.7 × 10 ~ (12) / L and 50g / L; hematocrit 33%, WBC 64 × 10 ~ 9 / L, N0.39, L0.15; nucleated erythrocytes 0.46. Proposed inter-twins transfusion syndrome, neonatal anemia, sepsis, low birth weight children. To warm the box, anti-infection, lose father’s blood, energy mixture and so on. Two days after the hard swelling, an area of about 34% of the lungs