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患儿男,生后31 h,安徽人,因“发现皮肤黄染26 h”入院。患儿系第2胎第1产,足月顺产,出生体重3000 g。母体健,第1胎自然流产,否认手术及输血史,否认肝炎及自身免疫性疾病。查体:反应好,皮肤中度黄染,肝脾不大。实验室检查:TBil219.3μmol/L。网织红细胞7.8%,Hb 98 g/L,C反应蛋白58.6 mg/L。母血型AB型,Rh阳性。子血型AB型,Rh阳性,直接Coombs实验:++++,放散试验:抗A、抗B阴性。结合患儿血型,需考虑ABO及RhD系统以外血型系统溶血病,取血标本送
Children male, 31 h after birth, Anhui, because of “skin yellow dye found 26 h ” admission. The second child in children with the first production, full-term birth, birth weight 3000 g. Maternal health, first abortion spontaneous abortion, denial of surgery and blood transfusion history, denied hepatitis and autoimmune diseases. Physical examination: good response, moderate yellowish skin, liver and spleen is not. Laboratory examination: TBil219.3μmol / L. Reticulocyte 7.8%, Hb 98 g / L, C-reactive protein 58.6 mg / L. Maternal blood type AB, Rh positive. Sub-blood type AB, Rh positive, direct Coombs experiment: ++++, discharge test: anti-A, anti-B negative. Combination of children with blood type, need to consider ABO and RhD system outside hemolytic disease, blood samples sent