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1994～1996年,我们收治36例新生儿ABO溶血病,现分析如下。 临床资料:本组男20例,女16例;第1胎32例,第2胎4例;早产儿3例,足月儿33例。入院日龄1～7天。出现黄疸时间为生后6～72小时。血总胆红素为240～513μmol/L,血红蛋白120～145g /L14例;网织红细胞3％～6％30例,>6％6例。伴轻度肝肿大8例,精神差6例,惊厥、肌张力增高1例。母子血型为母O—子A型19例,母O—子B型14例,母A—子B型2例,母B—子AB型1例。子血直接Coomb＇s试验阳性27例,间接阳性24例;母血均间接阳性。血清免疫抗A(B)效价1
From 1994 to 1996, we treated 36 neonates ABO hemolytic disease, are analyzed as follows. Clinical data: The group of 20 males and 16 females; 32 first births, second births in 4 cases; 3 premature children, full-term children in 33 cases. Admission age of 1 to 7 days. Jaundice occurs after 6 to 72 hours after birth. Blood total bilirubin 240 ~ 513μmol / L, hemoglobin 120 ~ 145g / L14 cases; reticulocyte 3% to 6% in 30 cases,> 6% in 6 cases. With mild hepatomegaly in 8 cases, poor spirit in 6 cases, convulsions, muscle tension increased in 1 case. There were 19 cases with mother O-subtype A, 14 cases with mother O-subtype B, 2 cases with mother A-subtype B and 1 case with mother B-subtype AB. There were 27 cases of positive Coomb’s test in sub-blood directly, 24 cases were indirect positive. The maternal blood was indirectly positive. Serum immunization against A (B) titer 1