国产伦乱,一曲二曲欧美日韩,AV在线不卡免费在线不卡免费,搞91AV视频

當(dāng)前位置:主頁 > 醫(yī)學(xué)論文 > 兒科論文 >

193例新生兒ABO溶血病臨床資料分析

發(fā)布時(shí)間:2019-06-21 03:47
【摘要】:目的 分析O型血孕婦的妊娠胎次對新生兒ABO溶血。ˋBO hemolyticdisease of newborn,ABO-HDN)病情嚴(yán)重程度的影響;并探討ABO-HDN的血型分布情況及患兒血型(A型或型)與ABO-HND病情輕重的關(guān)系。 方法 收集2012年9月15日至2013年2月28日重慶醫(yī)科大學(xué)附屬兒童醫(yī)院新生兒診治中心收治的符合入選標(biāo)準(zhǔn)的ABO-HDN193例,,對這些病例的臨床資料進(jìn)行回顧性分析:首先根據(jù)母親是否首次妊娠分成首次妊娠組和非首次妊娠組,首次妊娠組82例,非首次妊娠組111例,比較兩組新生兒生后初次出現(xiàn)黃疸的時(shí)間、入院時(shí)血清總膽紅素、白蛋白、達(dá)到換血標(biāo)準(zhǔn)的比例、血紅蛋白、貧血發(fā)生比例、光療時(shí)間、住院天數(shù),并比較兩組患兒改良直接抗人球蛋白試驗(yàn)(即改良Coombs試驗(yàn))、抗體釋放試驗(yàn)、游離抗體試驗(yàn)結(jié)果。其次根據(jù)患兒ABO血型分為A型血組和B型血組,A型血組為114例,B型血組為79例,同樣比較兩組新生兒生后初次出現(xiàn)黃疸的時(shí)間、入院時(shí)血清總膽紅素、白蛋白、達(dá)到換血標(biāo)準(zhǔn)的比例、血紅蛋白、貧血發(fā)生比例、光療時(shí)間、住院天數(shù),并比較兩組患兒改良Coombs試驗(yàn)、抗體釋放試驗(yàn)、游離抗體試驗(yàn)結(jié)果。 結(jié)果 ⑴首次妊娠組與非首次妊娠組的生后初次出現(xiàn)黃疸的時(shí)間、入院時(shí)血清總膽紅素、血紅蛋白、白蛋白、光療時(shí)間、住院天數(shù)分別為:(38.59±28.08) vs (40.52±29.07)h、(288.86±93.20) vs (309.84±104.34)μmol/L、(147.73±21.91) vs (149.14±22.37)g/L、(35.67±4.07)vs(35.79±3.67)g/L、(67.35±29.92)vs(68.83±26.83)h、(7.59±1.35)vs(7.72±1.48)天,兩組比較均無統(tǒng)計(jì)學(xué)的差異(P0.05)。兩組患兒貧血發(fā)生比例、達(dá)到換血標(biāo)準(zhǔn)的比例及改良Coombs試驗(yàn)、抗體釋放試驗(yàn)、游離抗體試驗(yàn)結(jié)果相比較其差異均無顯著性(P0.05)。 ⑵A型血的患兒多于B型血,兩組患兒生后初次出現(xiàn)黃疸的時(shí)間、入院時(shí)血清總膽紅素、血紅蛋白、白蛋白、光療時(shí)間、住院天數(shù)分別為:(41.56±26.70)vs (37.03±31.12)h、(297.23±102.34)vs(306.25)±(97.05)μmol/L、(150.18±21.40) vs(145.82±22.94)g/L、(35.96±3.86)vs (35.427±3.81)g/L、(67.04±28.54) vs (69.87±27.59)、(7.61±1.41)vs(7.73±1.46)天,兩組比較均無顯著統(tǒng)計(jì)學(xué)差異(P0.05)。兩組患兒貧血發(fā)生比例、達(dá)到換血標(biāo)準(zhǔn)的比例、改良Coombs試驗(yàn)、抗體釋放試驗(yàn)、游離抗體試驗(yàn)結(jié)果相比較均無顯著統(tǒng)計(jì)學(xué)差異(P0.05)。 結(jié)論 O型血母親的母親的妊娠胎次及患兒的血型(A型血或B型血)與ABO溶血病的新生兒在首次出現(xiàn)黃疸的時(shí)間、入院時(shí)血清總膽紅素、白蛋白、達(dá)到換血標(biāo)準(zhǔn)的比例、血紅蛋白、貧血發(fā)生比例、光療時(shí)間、住院天數(shù)無明顯相關(guān)性;與改良Coomb試驗(yàn)、抗體釋放試驗(yàn)、游離抗體試驗(yàn)結(jié)果也無明顯相關(guān)性。所以對患有ABO溶血病的新生兒無論母親是否首次妊娠、無論患兒是A型血還是B型血,都應(yīng)該引起臨床醫(yī)生足夠的重視,做到早診斷、早治療,減少膽紅素腦病、神經(jīng)系統(tǒng)后遺癥、死亡的發(fā)生。本文資料中A型血患兒比B型血多,可能本地區(qū)人群血型基因分布有關(guān)。
[Abstract]:Objective to analyze the effect of pregnancy order of pregnant women with type O blood on the severity of neonatal ABO hemolytic disease (ABO hemolyticdisease of newborn,ABO-HDN), and to explore the blood group distribution of ABO-HDN and the relationship between blood group (type A or type A) and the severity of ABO-HND. Methods from September 15, 2012 to February 28, 2013, ABO-HDN193 cases were collected from the Neonatal diagnosis and treatment Center of affiliated Children's Hospital of Chongqing Medical University. The clinical data of these cases were analyzed retrospectively. firstly, according to whether the mother first pregnancy or not, 82 cases in the first pregnancy group and 111 cases in the non-first pregnancy group, the first pregnancy group and the non-first pregnancy group were divided into first pregnancy group and non-first pregnancy group according to whether the mother was pregnant for the first time or not. The time of jaundice after birth, the proportion of serum total bilirubin and albumin, the proportion of hemoglobin and anemia, the time of phototherapy and the days of hospitalization were compared between the two groups, and the results of modified direct antiglobulin test (modified Coombs test), antibody release test and free antibody test were compared between the two groups. Secondly, according to the ABO blood group, the children were divided into type A blood group and type B blood group, type A blood group (n = 114) and type B blood group (n = 79). The time of first jaundice after birth, the proportion of serum total bilirubin and albumin, the proportion of hemoglobin, anemia, phototherapy time and hospitalization days between the two groups were compared, and the modified Coombs test and antibody release test were compared between the two groups. The results of free antibody test. Results 1the time of jaundice in the first pregnancy group and the non-first pregnancy group, the time of serum total bilirubin, hemoglobin, albumin and phototherapy on admission were (38.59 鹵28.08) vs (40.52 鹵29.07) h, (288.86 鹵93.20) vs (309.84 鹵104.34) 渭 mol/L, (147.73 鹵21.91) vs (149.14 鹵22.37) g / L, respectively. (35.67 鹵4.07) vs (35.79 鹵3.67) g 鈮

本文編號(hào):2503762

資料下載
論文發(fā)表

本文鏈接:http://lk138.cn/yixuelunwen/eklw/2503762.html


Copyright(c)文論論文網(wǎng)All Rights Reserved | 網(wǎng)站地圖 |

版權(quán)申明:資料由用戶20c9b***提供,本站僅收錄摘要或目錄,作者需要?jiǎng)h除請E-mail郵箱bigeng88@qq.com
精品人妻人妇一区二区三区| 色就是色AV一区二区精品| 亚洲 另类 欧美 日V| 欧美黑人精品九九久| 少妇高潮惨叫久久久久久久久久 | 暖暖视频一区二区在线免费看| 亚洲a视频在线观看,中文乱...| 欧美美综合网| 五月天女婷婷在线观看网站| 成人无码精品1区2区3区免费看| 国产日韩欧美大鸡巴操逼| se色成人亚洲综合| 日韩视频免费观看一区二区| 大胆人体艺术久久久久视频| 欧美很恨干| 日本无码伦理一区二区在线观看 | 日韩欧美精品综合第一区第二区| 美女的逼穴小穴| 韩国av三级片网站| www.日本一区二区在线观看| 色综合剧情中文字幕| 台湾佬午夜成人福利| 97人妻人人做人人人爽| 色婷婷欧美日韩在线视频| a精品国产一区二区| 在线直接看日B视频| 又大又黄又长| 亚洲午夜电影网站| 色婷婷成人精品在线视频| 内谢日本浪荡少妇| 日本久久爱一区不卡| 日韩成人无码久久电影| 鲁鲁一区二区三区| 97人妻中文字幕精品| 美女张开腿让男人戳| 精品性高朝久久久久久久| 亚洲综合一区图片| 0亚洲无吗高清| 午夜久久久电影在线观看| 日韩中文字幕无码更新| 欧美综合乱码|