新生儿ABO溶血病的早期诊断及治疗分析.docVIP

精品论文 参考文献 新生儿ABO溶血病的早期诊断及治疗分析 刘明喜1 葛艳2 　　（1新疆沙雅县人民医院儿科 新疆 阿克苏　843200） 　　（2阿克苏市人民医院儿科 新疆 阿克苏　843200） 　　【摘要】 目的：对新生儿ABO溶血病的早期诊断及治疗进行分析。方法：选择2013年4月～2015年4月到我院儿科进行治疗的新生儿ABO溶血病患儿96例，根据出生后是否进行早期溶血试验检查，将其分为观察组和对照组，各48例。对两组患儿胆红素峰值、光疗时间、住院时间等指标间的差异进行对比分析。结果：观察组和对照组应用静脉丙种球蛋白分别在生后48h内和生后48h后。观察组胆红素峰值、光疗时间和平均住院时间分别为219.45plusmn;15.37、68.52plusmn;7.64h和6.85plusmn;0.81d；对照组分别为298.76plusmn;18.39mu;mol/L、87.45plusmn;8.71h和8.53plusmn;1.26d，差异均有统计学意义(Plt;0.05)。结论：新生儿ABO溶血病高危患儿在生后进行溶血试验检查可以及时确诊新生儿ABO溶血病，且在患儿出生48 h内应用静脉丙种球蛋白可以有效控制患儿胆红素水平，缩短光疗时间和病程，值得临床推广应用。 　　【关键词】 新生儿；ABO溶血病；早期诊断；治疗 　　【中图分类号】R722 【文献标识码】A 【文章编号】2095-1752（2016）10-0032-02 　　Analysis of early diagnosis and treatment of neonatal ABO hemolytic disease Liu Mingxi. 　　The Peoples Hospital of Shaya County, Xinjiang, Akesu 843200, China, Ge Yan. The Peoples Hospital of Akesu City, Xinjiang, Akesu 843200, China 　　【Abstract】 Objective To analyze the early diagnosis and treatment of ABO hemolytic disease of the newborn. Methods 96 patients with ABO hemolytic disease of newborn infants treated by our hospital from April 2013 to April 2015 were divided into observation group and control group with 48 cases in each group. The comparative analysis of the differences between the two groups, the peak bilirubin phototherapy time, hospitalization time and other indicators between. Results The observation group and the control group with intravenous immunoglobulin respectively in 48 h after birth and after birth after 48 h. Observation group, bilirubin peak, phototherapy time and the average time of hospitalization were 219.45plusmn;15.37 and 68.52 + 7.64h and 6.85 plusmn; 0.81d; control group 298.76 plusmn;18.39 mol / L, 87.45 plusmn; did and 8.53 plusmn; 1.26 D, the differences were statistically significant (P lt; 0.05), respectively. Conclusion ABO hemolytic disease of newborn children with high-risk after birth of hemolysis test can be timely diagnosis of ABO hemolytic disease of the newb