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Rh 血交換治療32例Rh新生兒溶血病分析
作者：楊江存，韓梅寧，張獻清【關鍵詞】 幼紅細胞增多癥
Exchange transfusion with Rh blood for RhHDN: An analysis of 32 cases
【Abstract】 AIM: To study the feasibility for maternal plasma exchange and for substitute of Rh ( ) by Rh (-) blood in exchange transfusion for the treatment of RhHDN. METHODS: Enrolled in the study were 32 cases of RhHDN who had been diagnosed by both clinical symptoms and serum immunology in the lab （18 cases diagnosed during pregnancy and 14 cases after birth）. The 18 cases were treated with maternal plasma exchange. Thirtyone of the 32 cases received exchange transfusion within 2472 h after birth (① case had only mild symptoms and did not receive exchange transfusion), of whom 6 were given Rh (-) blood and 25 cases used Rh ( ) blood. RESULTS: Of the 18 cases treated with maternal plasma exchange, 16 cases had good results and 2 cases had no improvement. The 31 cases treated with exchange transfusion with Rh ( ) blood or Rh (-) blood all had satisfactory results with no significant difference between them (P
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