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患儿女22d,系第1胎第1产,41+2周催产素引产失败,后剖宫产娩出,生后1d发现皮肤黄染,遂入院。查体:过期产儿貌,易激惹,全身皮肤黄染,心肺无异常。实验室检查:血常规:WBC11.4×109/L,HGB:105g/L,RBC2.65×1012/L,Rc0.1%,血清总胆红素321.10μmol/L,游离胆红素306.41μmol/L,血型血清学检查:患儿血型:B,MN,Rh(+),母血型:AB,N,Rh(+),父血型:B,M;母婴血中测到IgG及IgM抗M抗体。诊断为抗M引起的新生儿溶血病。人院后间歇光疗72h,输注白蛋白2次,病情渐好转,黄疸消退,住10d出院。1月3天时因面色苍白,HGB73g/L,RBC1.85×1012,L再次入院,输注B,N,Rh(+)血0.25u×2,住院3d好转出院。
Children with children 22d, the first line of the first production, 41 +2 weeks of oxytocin failed induction of labor after cesarean delivery, 1d after birth, found the skin yellow dye, then hospitalized. Physical examination: expired child appearance, irritability, body yellow skin, no abnormal heart and lung. Laboratory tests: blood: WBC11.4 × 109 / L, HGB: 105g / L, RBC2.65 × 1012 / L, Rc0.1%, serum total bilirubin 321.10μmol / L, free bilirubin 306.41μmol / L, blood group serology: children with blood type: B, MN, Rh (+), maternal blood type: AB, N, Rh M antibody. Diagnosis of anti-M-induced neonatal hemolytic disease. After the hospital intermittent phototherapy 72h, infusion of albumin 2 times, the condition gradually improved, jaundice subsided, living 10d discharged. January 3 due to pale, HGB73g / L, RBC1.85 × 1012, L again hospitalized, infusion of B, N, Rh (+) blood 0.25u × 2, hospital 3 get better discharged.