什么是新生儿溶血症？
　　母婴血型不合，母血中抗体进入新生儿的血液循环并进而破坏新生儿的红细胞，导致发生溶血性贫血的一类疾病。临床上主要表现为皮肤黄疸，严重的出生时就有明显的水肿、贫血。较常见的有ABO血型不合溶血病、Rh溶血病等……>>全文
母婴血型
ABO血型不合溶血病是怎么回事？
　　ABO血型不合溶血病常发生在母亲血型为O型，父亲血型为A型、B型和AB型。胎儿的血型是由父母方各传一种基因组合而决定的，故胎儿的血型可能与母亲不同……
●ABO血型的分类
●ABO血型不合溶血病的发病原因
●与溶血病相关的因素…… >>全文
溶血症有哪些症状？
＊黄疸：红细胞破坏分解出来的胆红素呈黄色，分布于人体全身…
＊贫血：由于红细胞破坏，患溶血症的宝宝都有轻重不等的贫血…
＊肝脾肿大：重症溶血时，出现胎儿水肿并可有明显肝脾增大…
＊胆红素脑病：血中胆红素水平过高时损伤脑细胞，患儿嗜睡…
＊发热：发热可能是小儿溶血后机体的一种反应……>>全文
 
新生儿溶血病的诊

产前诊断

产后诊断
　　 对怀疑存在宫内溶血或可能发生溶血病的新生儿，除临床上要观察其黄疸的相关情况，包括出现时间、黄疸程度……>>全文

哪些妈妈会生ABO血型不合的宝宝
1.病史中有自然流产史及前一胎新生儿黄疸史者。
2.血型检查为O型，其丈夫为A、B或AB型。
3.O型血准妈在孕前查出抗A或抗B抗体效价较高者。
4.O型血准妈妈孕期抗A(B)IgG效价>1:64者。
　　 产前检查的目的在于诊断有没有发生或可能发生溶血病？如果已经发生溶血病，程度如何
血型检查
　　发生新生儿溶血病的根本原因是由于母婴血型不合，母亲的抗体破坏婴儿红细胞所致。因此，产前诊断的基本检查是夫妇双方的血型；最有价值的……>>全文		 羊水检查
　　如考虑已发生胎儿溶血，就要注意溶血的程度以及对胎儿的影响。这时……>>全文		 超检查
　　胎儿发生明显的溶血会引起贫血，严重者会导致胎儿水肿，有时还会并发腹水。因此，当各项检测指标提示胎儿宫内发生了大量溶血时，就应进行……>>全文
新生儿溶血病的治疗

溶血宝宝刚出生时要做好各项工作
a.分娩时，就要做好新生儿的抢救准备。
b.胎儿娩出立即断脐，减少抗体进入宝宝体内。
c.保留脐带，以备严重溶血病患儿换血用。

溶血宝宝刚出生时要做好各项工作
第一关(生后1天内)，立即用浓缩红细胞换血以改善胎儿水肿；
第二关(第2-7天)，降低胆红素防止核黄疸；
第三关(2周-2月)，纠正贫血。
　　主要控制或减缓溶血的过程、降低血中胆红素含量、纠正贫血等。具体治疗方法可以很多，但总的来说不外乎以下三种：药物治疗、蓝光治疗、换血治疗。
药物治疗
　　胆红素要经过肝脏代谢，一般医院都会使用一些促进肝脏功能的药物，如可拉明等。如果新生儿黄疸明确是由于溶血病所致，可以使用一些抑制母亲血型抗体作用的药物，如免疫球蛋白……>>全文		 蓝光治疗
　　胆红素处于脂溶性状态时很容易进入大脑，当处于水溶性状态时可经尿排出，通过蓝光治疗，使胆红素化学结构发生……>>全文		 换血治疗
　　当所有这些方法都未能奏效，或者说当宝宝血中胆红素水平达到某一个高度时，胆红素就可能进入脑中形成胆红素脑病，也称之为核黄疸。这时最有效的办法就是换血了，健康人的血……>>全文
父母子女ABO血型表
父亲
A
A
B
B
AB
AB
AB
AB
O
A
母亲
A
O
B
O
A
B
O
AB
O
B
子女
A、O
A、O
B、O
B、O
A、AB、B
B、AB、A
A、B
A、B、AB
O
A、B、AB、O
不可能血型
B、AB
B、AB
A、AB
A、AB
O
O
O、AB
O
A、B、AB
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