摘要
本文24例红细胞增多症以围产期因素引起者占首位.临床表现有嗜睡、烦躁、呼吸困难、呕吐、惊厥、多血貌、紫绀、高胆红素血症、酸中毒,低血糖等.所有病例入院初均采用低浓度牛奶喂养.静脉滴注低分子右旋糖酐或血浆以降低血粘度,并进行对症治疗.5例采用部分交换输血疗法,获得较为满意效果.红细胞压积、血红蛋白降至正常范围.
Fhis paper reports 24 newborns with erythrocythemia caused mainly by perinatal factors.The clinical manifestations are somnolence,dysphoria,dyspnea,vomiting,convulsion,polyemia,cyanosis, hyperbilirubinemia,acidosis,hypoglycemia etc.In order to reduce blood viscosity all cases were fed with low concentration milk and treated with low molecular dextran or plasma,5 of them using partial blood change transfusion.The hematocrit and hemoglobin of all were dropped within the normal range after the treatment.
关键词
新生儿
红细胞增多症
病理
polycythemia/PA
Polythemia/TH
infant
newborn