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母婴血型不合溶血常见症状Common symptoms of maternal and infant blood types that are not hemolytic

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  • 作者:xjat
  • 更新日期:2019-05-30 13:45
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母婴血型不合常见的有RH溶血和ABO溶血,总的看来Rh溶血病的症状较重,ABO溶血病的症状较轻或无症状。临床表现有下列几方面: RH hemolysis and ABO hemolysis are common in maternal and infant blood types. In general, the symptoms of Rh hemolysis are

母婴血型不合常见的有RH溶血和ABO溶血,总的看来Rh溶血病的症状较重,ABO溶血病的症状较轻或无症状。临床表现有下列几方面:

RH hemolysis and ABO hemolysis are common in maternal and infant blood types. In general, the symptoms of Rh hemolysis are heavier, and the symptoms of ABO hemolysis are lighter or asymptomatic. The following aspects of clinical presentation are available:

(一)胎儿水肿 由于严重溶血和贫血而致心力衰竭,引起水肿。胎儿无黄疽,因胆红素可通过胎盘自母体排出。胎盘也因水肿而增大。

I) Fetal edema, which is caused by severe hemolytic and anemic heart failure and causes edema. The fetus is not yellow, because bilirubin can be excreted from the mother through the placenta. The placenta also increases due to edema.

(二)黄疸 为主要症状,重者在出生后第一天即出现,轻者二、三天后出现,且迅速加深。

(2) jaundice is the main symptom. The heavy ones appear on the first day after birth, and the light ones appear two or three days later, and they quickly deepen.

(三)贫血 轻重不一,重者可伴呼吸增快心率加速。有些轻型病儿至生后2~6周贫血明显,称晚期贫血。

(3) The severity of anemia is different, and the heavy ones can be accompanied by increased respiration and accelerated heart rate. Some light disease children to 2 to 6 weeks after birth anemia is obvious, called advanced anemia.

(四)肝脾大 胎儿和初生儿贫血时髓外造血活跃,引起不同程度的肝脾大。

(4) Extramedullary hematopoiesis is active when the liver and spleen are large and the newborn is anaemic, causing different degrees of liver and spleen.

(五)胆红素脑病 又称核黄疸。

(5) Bilirubin encephalopathy is also called nuclear jaundice.

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