新生儿黄疸+母得志院长_培训课件.pptVIP

光疗的副作用 (Side effects of phototherapy) Treatment 换血疗法 Change transfusion continued 目的 (Aims of transfusions) 换出抗体和致敏RBC，减少溶血 换出胆红素，防止核黄疸 纠正贫血 Treatment 适应症 (Indications) 严重溶血病 光疗效果差 Treatment 换血疗法 Change transfusion continued 指针 ( Indications ) 1）出生时Hb120g/L，伴心力衰竭 2）血清胆红素超过 20mg/dl 3）生后12h胆红素上升0.7mg/dl/h 4）有核黄疸 Treatment 换血疗法 Change transfusion continued 血型的选择 ( Source of the blood ) mother newborns Rh 溶血： Rh ABO ABO 溶血： “AB” plasma and “O” cells Treatment 换血疗法 Change transfusion conti