摘要
对我院新生儿病房ＡＢＯ溶血病（简称ＡＢＯ）１０２例及Ｒｈ溶血病（简称Ｒｈ）５９例进行了比较。Ｒｈ溶血病与ＡＢＯ溶血病之比为１：２５。５。ＡＢＯ及Ｒｈ溶血病出现黄疸的时间均较早，生后２４小时内出现黄疸者ＡＢＯ３３例（３２．４％），Ｒｈ３９例（６６．１％）。Ｒｈ的黄疸程度较ＡＢＯ重，且上升速度快。两组病例中直胆出现早，合并高直胆血症者ＡＢＯ２５例（２４．５％），Ｒｈ４８例（８４．１％）；合并胆汁粘稠综合征者ＡＢＯ１例，Ｒｈ５例。晚期贫血Ｒｈ的比例较高，占２３．７％，ＡＢＯ无。认为应及早诊治、重视肝功能损害及晚期贫血等。
cases of neonatal ABO group incompatibility and 59 cases of Rh group incompatibility were compared clinically,The ratio of incidence of cases in Rh to ABO incompatibility is 1:25.5.Jaundice appeared on the first day of life in 33 cases(32.4%)of ABO incompatibility while in 39 cases(66.1%)of Rh incompatibility, The peak bilirubin concentration of Rh incompatibility was higher than ABO incompatibility.Conjugated hyperbilirubinemia was seen in 25 cases (24.5%)of ABO incompatibility and in 48 cases(84.1%)of Rh incompatibility,There was 1 case of inspissated bile syndrome in ABO incompatibility and 5 cases in Rh incompatibility;Late anemia in Rh incompatibility is 23.7%while none in ABO incompatibility. Problems of early diagnosis of neonatal hemolytic disease, the conjugated hyperbilirubinemia and late anemia were discussed.
出处
《北京医学》
CAS
北大核心
1996年第4期217-220,共4页
Beijing Medical Journal
关键词
新生儿溶血症
血型不合
RH血型不合
Neonatal hemolytic disease
ABO group incompatibility
Rh group incompatibility
