22例新生儿Rh血型不合溶血病的治疗体会

THE EXPERIENCE OF TREATMENT FOR 22 CASES OF NEONATAL HEMALYTIC DI SEASE CAUSED BY RH BLOOD GROUP INCOMPATIBILITY

1986～1991五年中收治由Rh血型不合所致新生儿溶血病22例，除6例入院时已有核黄疸者外，其余以换血治疗10例，光疗5例，仅输血纠正贫血（入院时日龄已23天）1例，全部治愈，无后遗症。Rh血型不合由抗D引起者21例，由抗E引起者1例。换血治疗者中，血型选择采用Rh阴性、ABO同型血4例，采用Rh阳性、ABO同型血6例。因此在无Rh阴性血、病情又不允许等待的情况下采用Rh阳性、ABO同型血亦可作为血源的选择。

We treated 22 cases of newborns with hemolytic disease due to Rh blood group incompatibility in five years from 1986 to 1991, Rh blood group incompatiblity was caused by Auti -D in 21 cases and auti-E in one case. All were cured wlthout any sequela by phototherapy and (or0 exchange transfurion except for 6 cases who had had unclear jaundice at admission.21 case neceivedphototherapy. which averagely took 4. 1 days in 11 cases without exchage transfusion and 4. 5 days in 10 cases with exchange transfurion. Among 10 cases who underwent transfurion, Rh - negative ABO - identical bolld was used in 4 cases, and Rh - positive, ABO -identical blood in 6 cases. The refore, it suggested that Rhpositive, ABO-identical blood could be selected, as the source of transfurion if there was no supply of the Rh - negative