Rh母儿血型不合综合治疗方法的研究  

Study on integrative treatment method of rhesus maternal-fetal blood group incompatibility

作　　者：史惠蓉[1] 李青[1] 邵宝亭[1] 乔玉环[1] 杨玲竹[1] 张连琴[1] 郑素梅[1] 

机构地区：[1]河南医科大学第一附属医院妇产科,河南郑州450052

出　　处：《河南医学研究》2001年第1期29-31,共3页Henan Medical Research

基　　金：河南省教委自然科学基础研究项目!(9832 0 0 0 6 )

摘　　要：目的 :探讨母儿Rh血型不合的综合治疗方法。方法 :对 2 4例Rh血型不合孕妇在孕期积极治疗并适时终止妊娠 ,对新生儿分别采用光疗、药物治疗和 (或 )交换输血等方法治疗。结果 :2 4例孕妇死胎 1例 ,分娩的 2 3例新生儿全部发生溶血 ,2例因病情过重抢救无效死亡 ,2 1例经治疗后健康存活 ,治愈率达 87 5 %。结论Objective: To explore the integrative treatment method of rhesus maternal fetal blood group incompatibility.Methods: To treat actively 24 pregnant women with Rh blood group incompatibility in pregnant period and terminate their pregnancies at appropriate time.23 neonates were treated with the methods of phototherapy,medication and (or) exchange transfusion respectively.Results: One of the 24 pregnant women was dead fetus and 23 newborns all occurred hemolyses.Two in a bad way of 23 neonates died after being actively rescued,21 neonates survived healthily after undergoing therapy and the cure rate reached 87.5%.Conclusion: Adopting integrative methods to treat Rh maternal fetal blood group incompatibility could improve the prognosis of Rh hemolytic disease of fetus and newborns.

关 键 词：母儿血型不合 RH血型系统 新生儿溶血病 治疗 交换输血 

分 类 号：R714.05[医药卫生—妇产科学] R722.180.5[医药卫生—临床医学]