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我科于1989年6月~1991年5月共收治重症新生儿出血症5例,全部病人均在综合治疗的基础上,予全血静脉推注抢救,无一例死亡,现报道如下: 临床资料 5例出血症患儿,早产儿1例,双胎足月儿1 例,男8例,女2例。发病时间;3天内2例,~4天2例,~5天1例。均突然起病,以突然出血为主要临床症状,表现为脐部,胃肠道及皮肤粘膜出血,查体见重度贫血外貌,体温不升2例,呼吸60~120次/分,心率90-220次/分,哭声无力、软弱,呼吸困难,四肢湿冷,实验室检查,血红旦白均在70克/升以下,最低达42克/升,血小板均在正常范围,出血时间正常,凝血时间均延长,查凝血酶元
Our department in June 1989 ~ May 1991 were admitted to treatment of severe neonatal hemorrhage in 5 cases, all patients were treated on the basis of comprehensive intravenous bolus rescue, without a death, are reported as follows: Clinical data 5 cases of bleeding in children, 1 case of premature children, twin full-term children in 1 case, 8 males and 2 females. Onset time; 2 cases within 3 days, 2 cases ~ 4 days, 1 case ~ 5 days. Sudden onset, with sudden bleeding as the main clinical symptoms, manifested as umbilical, gastrointestinal and skin mucosal bleeding, physical examination showed severe anemia appearance, body temperature does not rise in 2 cases, breathing 60 to 120 beats / min, heart rate 90- 220 beats / min, crying weakness, weakness, difficulty breathing, cold and limbs, laboratory tests, hemoglobin are below 70 grams / liter, the lowest 42 grams / liter, platelets are in the normal range, bleeding time is normal, Time is extended, check thrombin yuan