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1 临床资料 患儿,女,2岁零3个月,江苏常州人,患儿生后6 h出现黄疸,持续半月余,黄疸消退,多次在外院检查血红蛋白均在60 g/L左右,曾诊断为“自身免疫性溶血性贫血”,用激素治疗半年无效,于1992年11月20日入院。患儿为G_2P_1,足月剖宫产,父母体健,母血型为“O”型,否认有遗传病史。入院检查:T 37℃,P 110次/min,R 26次/min,发育正常,营养中等,贫血貌,皮肤粘膜无黄染,浅在淋巴结无肿大,心肺无异常,肝于肋下2 cm、脾于肋下1.5 cm触及、质软、无压痛。入院后血红蛋
1 clinical data of children, women, 2 years and 3 months, Changzhou, Jiangsu, children with jaundice after 6 h, lasting more than a month, jaundice subsided, repeatedly in the hospital for examination of hemoglobin are around 60 g / L, once Diagnosed as “autoimmune hemolytic anemia”, hormone therapy for six months ineffective, admitted to hospital on November 20, 1992. Children with G_2P_1, full-term cesarean section, parents healthy, maternal blood type “O” type, denied a genetic history. Admission examination: T 37 ℃, P 110 times / min, R 26 times / min, normal development, moderate nutrition, appearance of anemia, skin and mucosa no yellow dye, no swelling in the lymph nodes, no abnormal heart and lung, liver in the ribs 2 cm, spleen in the rib 1.5 cm touch, soft, no tenderness. After the hospital hemoglobin