多次宫内输血治疗胎儿Rh溶血性疾病1例报告

Q4 Medicine

中华围产医学杂志 Pub Date : 2019-10-16 DOI:10.3760/CMA.J.ISSN.1007-9408.2019.10.013

Nan Chen, Zhe Liu

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引用次数: 0

摘要

本研究报告了一例因母亲和胎儿Rh不相容导致多次宫内输血后胎儿溶血性疾病的结果。孕妇在妊娠29周时因胎儿水肿而终止妊娠，原因不明，未做相关检查。指数妊娠24周时发现胎儿水肿和溶血性疾病(严重贫血)。经5次宫内输血后，胎儿水肿和贫血得到改善。这名婴儿在妊娠33周时通过剖宫产出生，被诊断为溶血性疾病，并被转移到新生儿科。治疗一个月后，患儿病情好转出院。此后，他一直被跟踪到一岁，没有任何身体或智力发育异常。关键词:红细胞增多症;胎儿;Rh-Hr血型系统;血型不合;输血，宫内输血

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Multiple intrauterine transfusions for fetal Rh hemolytic disease: a case report

This study reported the outcome of a case of fetal hemolytic disease after multiple intrauterine transfusions due to Rh incompatibility between the mother and fetus. The pregnant women had a history of termination for fetal edema at 29 weeks of gestation due to undecided reason as no relevant tests were conducted. Fetal edema was found and hemolytic disease (severe anemia) was diagnosed at 24 gestational weeks in the index pregnancy. After five intrauterine transfusions, fetal edema and anemia were improved. The baby who was born by cesarean section at 33 gestational weeks, was diagnosed with hemolytic disease and transferred to the neonatology department. After one month of treatment, the baby was improved and discharged. Whereafter he was followed up to one year of age without any abnormality in physical or mental development. Key words: Erythroblastosis, fetal; Rh-Hr blood-group system; Blood group incompatibility; Blood transfusion, intrauterine

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来源期刊

中华围产医学杂志 Medicine-Obstetrics and Gynecology

CiteScore

0.70

自引率

0.00%

发文量

4446

期刊介绍： Chinese Journal of Perinatal Medicine was founded in May 1998. It is one of the journals of the Chinese Medical Association, which is supervised by the China Association for Science and Technology, sponsored by the Chinese Medical Association, and hosted by Peking University First Hospital. Perinatal medicine is a new discipline jointly studied by obstetrics and neonatology. The purpose of this journal is to "prenatal and postnatal care, improve the quality of the newborn population, and ensure the safety and health of mothers and infants". It reflects the new theories, new technologies, and new progress in perinatal medicine in related disciplines such as basic, clinical and preventive medicine, genetics, and sociology. It aims to provide a window and platform for academic exchanges, information transmission, and understanding of the development trends of domestic and foreign perinatal medicine for the majority of perinatal medicine workers in my country.