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患者,李××,女,31岁,病历号810930。87年2月第一胎妊娠6~+月,早产,婴死,因胎盘粘连大出血,抢救时输过2位献血者的血,共计600ml。88年4月,第二胎妊娠29周,顺产,产后第三天婴死于“核黄疸”。92年9月30日,患者以“先兆早产”入院,10月3日,妊娠34周分娩,早产儿身长34cm,体重1650g,全身皮肤苍白,面部出现黄疸,肝肋下3cm,脾可触及,伴腹水征,产后第二天,婴死于溶血性贫血。临床考虑为母婴血型不合引起的新生儿溶血病,申请验证。现报告如下。
Patient, Lee × ×, female, 31 years old, medical record number 810930. 87 months in February 1987 the first child pregnancy 6 ~ + month, premature delivery, infant death, bleeding due to placental adhesion, the blood transfusion of two donors during the rescue, 600ml. April 88, the second child of 29 weeks of pregnancy, abortion, the third day after childbirth died of “nuclear jaundice.” On September 30, 92, the patient was admitted to hospital with “threatened preterm birth”. On October 3, 34 weeks of gestation, she gave birth. The body weight of her premature infant was 34cm and her body weight was 1650g. She had pale skin, jaundice on her face, With ascites sign, the second day postpartum, the baby died of hemolytic anemia. Clinical Considerations for neonatal hemolytic disease caused by maternal and child blood incompatibility, apply for verification. The report is as follows.