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我科自1985年以来,用低分子右旋糖酐治疗新生儿红细胞增多症24例、获显著疗效,现小结如下: 临床资料 24例中男15例、女9例,生后3大内起病17例,3—7天7例,足月儿12例,早产儿8例,过期产儿4例。分析发病原因有慢性宫内缺氧(胎盘功能不全,脐带绕颈)12例,晚夹脐带4例,糖尿病母亲4例,胎—胎输血1例,原因不明4例。本组患儿临床表现为多血貌23例,青絷21例,黄疸21例,呼吸窘迫13例,激惹11例,惊厥8例,嗜睡8例,呼吸暂停7例,心力哀竭2例,血小板<10万14例,红细胞计数710—946万/mm~3。
Our department since 1985, the use of low molecular weight dextran in the treatment of 24 cases of neonatal polycythemia, a significant effect, are summarized as follows: Clinical data of 24 cases, 15 males and 9 females, 3 cases after birth, 17 cases of onset , 7 cases of 3-7 days, 12 cases of full-term children, 8 cases of premature children, 4 cases of obstetric children. There were 12 cases of chronic intrauterine hypoxia (placental insufficiency, umbilical cord around the neck), 4 cases of umbilical cord in the night, 4 cases of diabetic mothers, 1 case of fetal-fetal transfusion, 4 cases of unknown cause. The clinical manifestations of this group of children with multiple appearances in 23 cases, 21 cases of barley, jaundice in 21 cases, respiratory distress in 13 cases, irritation in 11 cases, convulsions in 8 cases, drowsiness in 8 cases, apnea in 7 cases, cardiac exhaustion in 2 cases , Platelets <10 million in 14 cases, erythrocyte count 710-946 million / mm ~ 3.