新生儿母子ABO与Rh血型不合溶血病的临床比较

对我院新生儿病房ＡＢＯ溶血病１０２例及Ｒｈ溶血病５９例进行了比较。Ｒｈ溶血病与ＡＢＯ溶血病之比为１：２５．５。ＡＢＯ及Ｒｈ溶血病出现黄疸的时间均较早，生后２４小时内出现黄疸者ＡＢＯ３３例，Ｒｈ３９例。Ｒｈ的黄疸程度较ＡＢＯ重，且上升速度快。两组病例中直胆出现早，合并总直胆血症者ＡＢＯ２５例，Ｒｈ４８例。

A comparison of the Clinical features of neonatal hemolytic disease due to ABO and Rh group incompatibility

cases of neonatal ABO group incompatibility and 59 cases of Rh group incompatibility were compared clinically,The ratio of incidence of cases in Rh to ABO incompatibility is 1:25.5.Jaundice appeared on the first day of life in 33 cases(32.4%)of ABO incompatibility while in 39 cases(66.1%)of Rh incompatibility, The peak bilirubin concentration of Rh incompatibility was higher than ABO incompatibility.Conjugated hyperbilirubinemia was seen in 25 cases (24.5%)of ABO incompatibility and in 48 cases(84.1%)of Rh incompatibility,There was 1 case of inspissated bile syndrome in ABO incompatibility and 5 cases in Rh incompatibility;Late anemia in Rh incompatibility is 23.7%while none in ABO incompatibility. Problems of early diagnosis of neonatal hemolytic disease, the conjugated hyperbilirubinemia and late anemia were discussed.