"Thank you for saving Xiao Bao's life,
It also saved the lives of our whole family! ”
On January 13, Xiao Bao, who was only 11 days old,
After surviving neonatal asphyxia,
gastrointestinal bleeding, neonatal hemolytic anemia,
After severe hyperbilirubinemia and other difficulties,
Finally turned the corner and was discharged from the hospital.
Recently, Anting Hospital successfully treated a child with neonatal hemolytic anemia with severe hyperbilirubinemia, which is also the first case of neonatal hemolytic anemia undergoing heterotypic blood transfusion treatment.
On January 2, Xiao Bao was in intrauterine distress before birth, the umbilical cord wrapped around the neck and body, and suffocated after birth, the situation was very critical, and after emergency treatment by medical staff, he was temporarily out of danger. However, during the hospitalization, the doctor found that Xiaobao suddenly became pale on the face and body skin, his heart beat faster, his breathing was short, his blood indicators were tested, and his hemoglobin was progressively reduced.
"In normal newborns, the hemoglobin is greater than 145 g/L, and Xiaobao drops to 80 g/L in severe cases, accompanied by a progressive increase in serum bilirubin, up to 500umol/L, and the direct anti-human globulin test is positive, we judge that the newborn hemolysis is complicated by severe hyperbilirubinemia." If left untreated, it can lead to bilirubin encephalopathy. Zhao Hui, director of the Department of Pediatrics at Anting Hospital, said.
Conventional blue light therapy is not ideal, and it is necessary to use gamma globulin to inhibit hemolysis and correct severe anemia with blood transfusion, and in severe cases, exchange blood exchange therapy is required. According to the doctor, because Xiaobao's blood type is positive for AB rhHD and the mother's blood type is positive for B type RHD, it is not consistent with the common neonatal ABO hemolysis or RH hemolysis, and there may be neonatal hemolysis caused by other blood group systems.
Therefore, the medical staff of the Department of Pediatrics and Blood Transfusion of Anting Hospital formulated a blood transfusion plan and finally decided to inject Xiaobao with O-type RH-positive washed red blood cells. With the slow transfusion of 40 ml of blood into Xiao Bao's body, Xiao Bao's pale complexion began to become rosy, and the re-examination of various indicators returned to normal. At present, Xiaobao's condition is stable and he has been discharged from the hospital.
Zhao Hui told reporters that rare blood group incompatibility hemolytic diseases like Xiaobao are very rare, and the successful treatment of neonatal hemolytic anemia with heterotypic blood transfusion is the first case in Jiading.
It is understood that the new hospital of Anting Hospital has been opened for more than a year, in addition to hardware upgrades, the hospital has continuously overcome difficult diseases, the level of medical technology has been improved synchronously, and the public can enjoy high-quality diagnosis and treatment services at the doorstep of their homes. During the "14th Five-Year Plan" period, Anting Hospital will continue to promote the construction of disciplines, cultivate medical backbones, further promote the construction of medical associations, and strive to create a regional medical center in Shanghai.
Image source: Anting Hospital
Author: Yin Qinqin
Editors: Tang Min, Lu Zebin