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例一曹××之女,第二胎第二产,于1969年12月1日足月顺产,体重3360克,Apgar 评分10分,于出生后24小时体检发现黄疸明显,血清总胆红素为21毫克%,结合胆红素2.2毫克%,血色素10.7克%,红细胞347万/立方毫米。母血清学检查未发现Rh 免疫抗体,但发现冷凝集素高。由于黄疸出现早且进展快,于出生第34小时交换输血600毫升A 型血。换血后总胆红素由21毫克%降到11.3毫克%,皮肤仍黄。出生第5天总胆红素上升为33毫克%,结合胆红素为13毫克%,有嗜睡,第6天出现易惊跳现象,且黄疸加重,故决定第二次换血200毫升,总胆红素由48.5毫克(结合胆红素为25毫克%)下降到20.9毫克%(结合胆红素为13毫克%)。以后总胆红素逐渐下降。
A case of Cao XX’s daughter, the second child of the second production, full term on December 1, 1969, birth weight 3360 grams, Apgar score of 10 points, 24 hours after birth physical examination found jaundice, serum total bilirubin 21 mg%, bilirubin 2.2 mg%, hemoglobin 10.7 g%, erythrocyte 347000 / mm3. Rh immune antibody was not found in maternal serological tests, but cold agglutinin was found to be highly expressed. As jaundice appears early and progresses quickly, blood transfusions of 600 ml of type A blood are exchanged at the 34th hour of life. Total bilirubin from 21 mg% to 11.3 mg% after transfusions, skin remains yellow. The first 5 days of total bilirubin rose to 33 mg%, bilirubin 13 mg%, drowsiness, the first 6 days easy to jump phenomenon, and increased jaundice, it is decided to exchange the second 200 ml of blood, total gall Red pigment decreased from 48.5 mg (25 mg% for conjugated bilirubin) to 20.9 mg% (13 mg% for conjugated bilirubin). After the total bilirubin gradually decreased.