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本文分析我院1980年～1990年经实验室试验确诊的新生儿Rh溶血症17例。男13例女4例,黄疸出现时间全部在生后24小时以内。Rh D血型不合9例,Rh E血型不合7例,Rh C血型不合1例,直接抗人球蛋白试验17例均阳性,5例由于严要高胆红素血症故采取换血疗法。1例因入院太晚,未及时换血即死亡。对换血后5例患儿进行随访,经丹佛智能筛选检查法(DDST),仅1例异常,其智力及体格发育落后1年。Rh E溶血症在中国颇为常见,上海报告本症占Rh溶血症34.4％(42/122),本文报告更高达41.2％(7/17)。
This article analyzes our hospital from 1980 to 1990 confirmed by laboratory tests of 17 cases of neonatal Rh hemolytic disease. There were 13 males and 4 females, all with jaundice occurring within 24 hours after birth. Rh D blood group incompatibility in 9 cases, Rh E blood group inaccordance in 7 cases, Rh C blood group in 1 case, direct anti-human globulin test in 17 cases were positive, 5 cases due to severe hyperbilirubinemia so take transfusion therapy. One patient was hospitalized too late, not timely exchange of blood that is dead. After transfusion, 5 cases were followed up. Only one case was abnormal by Denver intelligent screening test (DDST), whose mental and physical development lagged behind one year. Rh E hemolytic disease is quite common in China. Shanghai reported that the disease accounted for 34.4% (42/122) of Rh hemolytic disease and reported in this paper was as high as 41.2% (7/17).