青岛地区12例新生儿Rh溶血病临床分析  

Clinical analysis of 12 cases of neonatal Rh hemolytic disease in Qingdao

作　　者：迟媛媛 闫玉芬[2] 李菲 

机构地区：[1]青岛市妇女儿童医院输血科,青岛266000 [2]青岛大学附属医院门诊急诊部

出　　处：《中国优生与遗传杂志》2017年第2期97-98,101,共3页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨新生儿Rh溶血病的疾病特征和诊疗经验,为临床诊治和改善患儿预后提供参考。方法对本院2015年1月~12月收治的12例新生儿Rh溶血病临床资料进行回顾性分析。结果 12例患儿主要是由Rh(D)(41.7%)、Rh(E)(33.3%)、Rh(E)联合Rh(c)(16.7%)、Rh(E)联合JKb(8.3%)引起的新生儿溶血病。4例患儿采用换血疗法,换血率33.3%,其余采用蓝光照射退黄,除1例中途转院外,其余患儿均治疗顺利。结论加强对新生儿Rh溶血病的认识,加大对产妇的血型筛查,及时诊断和治疗,降低该病的病死率和致残率。Objective：To explore the clinical experience in the diagnosis and treatment of neonatal Rh hemolytic disease,and to provide reference for clinical diagnosis,treatment and prognosis.Methods：A retrospective analysis was made on the clinical data of 12 cases of neonatal Rh hemolytic disease admitted in our hospital in 2014.Results：12 cases were mainly composed of Rh（D）（41.7%）,Rh（E）（33.3%）,Rh（E）combined with Rh（c）（16.7%）,Rh（E）combined with Jkb（8.3%）induced hemolytic disease of the newborn.4 cases were treated with exchange transfusion,blood transfusion rate of 33.3%.The rest of the patients were treated with blue light.In addition to the 1 cases were transferred to other hospitals halfway,smooth treatment.Conclusion：We should strengthen the understanding of Rh hemolytic disease of the newborn and increase blood group screening for mothers in order to diagnosis and treatment timely.To prevent the occurrence of high bilirubin encephalopathy,reduce the mortality and morbidity of the disease.

关 键 词：新生儿 RH溶血病 换血治疗 

分 类 号：R722.18[医药卫生—儿科]