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本文报告1983年12月底到1986年底新生儿ABO溶血病39例,在换血治疗中应用O型红细胞和AB型血浆混合的ACD血作为血源,取得了理想换血效果:(1)换出血清中胆红素>8 mg%者占59%,(2)除去血中游离抗体,多于1周消失,(3)换出血中致敏红细胞达62%~87.5%,(4)黄疸消退快,7日内消失占61.5%。存在缺点:(1)换血量不足,(2)术后贫血。
This article reports the end of December 1983 to the end of 1986 ABO hemolytic disease in 39 cases of newborns, transfusion of blood in the treatment of O-type red blood cells and AB blood mixed ACD blood as a blood source, and achieved the ideal exchange transfusion results: (1) out of the serum Bilirubin> 8 mg% accounted for 59%, (2) remove free blood antibodies, more than 1 week disappeared, (3) bleeding hemorrhagic erythrocyte up to 62% ~ 87.5%, (4) jaundice subsided quickly, Within seven days disappeared accounted for 61.5%. There are shortcomings: (1) lack of blood exchange, (2) postoperative anemia.