新生儿Rh溶血病与溶血后贫血(附6例报告)

NEONATAL RH HEMOLYTIC DISEASE AND HEMOLYTIC ANEMIA

本文总结1989年6月至1990年8月住我院新生儿病区新生儿Rh溶血病6例（RhD溶血病3例，RhE溶血病2例,RhC溶血病1例）。6例患儿都有严重黄疸和不同程度的贫血。常规治疗外所有患儿均予输Rh血型与母亲相同，ABO血型与患儿相同的全血或Rh血型与母亲相同的O型血球纠正贫血，全部治愈出院。笔者强调对Rh阳性妇女所生婴儿发生严重黄疸、贫血时仍不能排除Rh溶血病可能，应想到RhD以外的Rh溶血症，如RhE或RhC溶血病。

We analysed six cases of neonatal Rh hemolytic disease:three Rh-D incompatibilicy two RH-E incompatibility, and one Rh-C incompatibility. All had severe jaundity, and anemia.Except for phototherapy, administration of albumin and plasma, phenobarbital, all patients received the transfusion of blood which was compatible with mother's blood in Rh type and compatible with patient's blood in ABO type, or received the O type erythrocytes which were compatible with mother's blood in Rh type, to correct the anemia. All cases were cured. It was concluded that for Rh positive mothers' newborn infants with severe jaundice and anemia, we should still think of Rh hemolytic disease, such as Rh-E or Rh-C incompatibility