第三讲--新生儿输血疗法

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:1005-2224(2002)03-0183-03:(,610041):R72:A,,,,1(Hb)120145g/L100120g/L100g/L,ABO():(dL)=[Hb(g)-Hb(g)]019(kg)100mLHb(g),,,510/min,,20mL/h2,,IgG,,RhABO,,,Rh,;ABORhRh(D)RhRh(EC),,,ABOO,AB,1RBCHb,,:,,2.1[1],,,,:,Rh,450nm,,,3435,Hb60g/L,0125:ORh,,(Hb220250g/L),:202220mL;2440mL;32100mL,:(mL)=(-20)101153(2)1,:(IPT)(IVT)(ICT)IVT,B,,,Hb100110g/L,IVT,,23mm,,,50mL/kg(),,IPTIPT,,IPT,,IPT,ICT,,,,,:,;;;2.2(),,,,,,:,Hb38120023173120g/L,,;12h120mol/L342mol/L;():,3dABO,ABOOAB;Rh,ABOORh,,0140,150180mL/kg(2):()3,VitB12VitE(EPO),,,,3.12,,,,15%33%2,,,Hb50g/L,,,,,()=(kg)(Hb-Hb)6,,,510mL/kg,,,01602,,,,3050mL,2,,,23.2,,,,,,,,,3.3,(),,,Hb,,,4,,,,,,,,4.1VitK,25d,24h(),,,,,VitK112mg;VitK,,,,1020/kg,,,15min4.2IVIG,,50109/L,72h,,(2030)109/L,[2](PC)400mL,5151010,1(1)PC,011012/kg,,,DIC,,12d,23d1ABOHLA(ABO),,5[3],,,,,,,(IVIG):5001000mg/d,36d,52%IVIG,:,48h,,(12)109/kg,35d,(100mL1,1135109),48120023173:(G2CSF),(GM2CSF),,,G2CSF,24h10g/kg,12h1;4872h,5g/kg,24h1,6,PaO2PaCO2,,,Hb130g/L,,,,5mL/kg,0140,Hb130g/LHb50g/L,,,,5mL/kg,15min12mg/kg,,,,,,,,[4]1Urbaniak,SJ,GreissMA.RhDhaemolyticdis2easeofthefetusandthenewborn.BloodRe2views,2000,14:522VictorsS,ThomasK,HeatherHume,etal.Platelettransfusiontherpatyinnewbornin2fants.TransfusionMedcineRevieus,1995,9(3):2153RobertW,Sweetman,MitchellS.Bloodcom2ponentandimmunotherapyinneonatalsepsis.TranfusionMedcineReviews,1995,9(3):2514PeterHolman,MorrisA,BlajchmanandNancyHeddle.Noinfectiousadverseeffectsofbloodtransfusionintheneonate.TransfusionMed2cineReviews,1995,9(3):277(2001-11-10)(:)1:(,530021),8d,8d20013208d,31,39+,,Apgar,,,10min,,,,,2d,,,5d,,:T3718,P134/min,R80/min,218kg,52cm,36cm,39cm,,,,,1cm,,,,,,,,CT():,,,1cm,3cm3cm2cm,,,,,,,,3d,:,,,,,,310cm112cm1cm,,,,:,,,17d:,,,,CT,,,,,,,,(2001-10-112001-12-18)(:)58120023173

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