[Source: Jiangxi Internet Radio and Television Station_Jingdezhen Culture, Education and Health] Only 40 hours after birth, the baby suddenly turned into a "minion" with a sallow body. The parents rushed to the hospital for treatment. The Jingdezhen Maternal and Child Health Hosp

[Source: Jiangxi Internet Radio and Television Station_Jingdezhen Culture, Education and Health]

Only 40 hours after birth, the baby suddenly turned into a "minion" with a sallow body all over. The parents rushed to the hospital for treatment. The Jingdezhen Maternal and Child Health Hospital diagnosed the newborn with ABO hemolysis. After obtaining the consent of the family, after three hours of "whole body blood transfusion", the baby was in danger. At present, after examination, there is no abnormality of nervous system and , and the baby has recovered and been discharged.

Today's Video ( Jiangxi Internet Radio and Television Station ) News: Just 40 hours after birth, the baby suddenly turned into a "minion" with a sallow body all over. The parents rushed to the hospital for treatment. The Jingdezhen Maternal and Child Health Hospital diagnosed the newborn with ABO hemolysis. After obtaining the consent of the family, after three hours of "whole body blood transfusion", the baby was in danger. At present, there are no neurological abnormalities after examination, and the baby has recovered and been discharged.

24 hours after birth

Baby turns into a "minion"

Recently, the neonatal department of Jingdezhen Maternal and Child Health Hospital admitted a newborn who was only 40 hours old and was transferred from another hospital. The child developed skin jaundice within 24 hours after birth and rapidly worsened, and his condition was very critical.

After receiving the diagnosis, the doctor in charge, Hu Feng, immediately conducted a transcutaneous jaundice test on the baby. The value was as high as 38-40mg/dL, and immediately reported it to Wang Bin, deputy director of the neonatology department. "After understanding that the child's mother has blood type O and , we determined that the child was most likely to have ABO hemolytic disease of the newborn," Wang Bin said.

After a blood test, the child's total blood bilirubin reached 624mmol/L, and the hemolytic disease test was strongly positive, confirming the diagnosis of neonatal ABO hemolytic disease.

Mild cases of hemolytic disease of the newborn can cause jaundice to be treated by irradiating blue light . Severe cases may cause serious consequences such as neonatal bilirubin encephalopathy, which is life-threatening and often require blood transfusion. After discussion, the department decided to perform exchange transfusion treatment for the child after seeking the consent of the family.

Emergency blood transfusion

Saving the baby's life

Time is of the essence, and an emergency rescue was launched quickly. While contacting the blood transfusion department to allocate blood, the treatment team quickly opened the blood transfusion channel for the child, actively prepared for the "blood transfusion", and waited for the delivery of "life-saving blood".

After 3 hours of intense and orderly work, the treatment team successfully injected and output 510ml of blood each for the child, which is equivalent to nearly twice the blood in his whole body. The child's vital signs were stable throughout the entire process, and no adverse reactions occurred. It was not until 11 o'clock that night, after closely monitoring vital signs and confirming that the child was out of danger, that the medical staff of the rescue team felt relieved. At this time, they had been fighting continuously for 12 hours.

After the operation, the child had no abnormal reactions, the jaundice subsided significantly, and the total bilirubin and dropped from the previous 624mmol/L to 380mmol/L. After exchange transfusion, blue light irradiation treatment was continued to continue to reduce the jaundice. A few days later, the child's total bilirubin dropped to 170 mmol/L, which was in line with the indications for discharge.

Novice parents should pay attention to neonatal jaundice

Wang Bin reminded that neonatal jaundice is one of the most common clinical problems in newborns. About 50% of full-term infants and 80% of premature infants will have varying degrees of jaundice. New parents must pay great attention to the problem of neonatal jaundice and distinguish between physiological jaundice and pathological jaundice. Physiological jaundice often does not require special treatment. Most will subside within two weeks in full-term infants and within 3 to 4 weeks in premature infants. Pathological jaundice is usually caused by disease factors. Severe hyperbilirubinemia may be complicated by bilirubin encephalopathy, resulting in irreversible brain damage . Therefore, pathological jaundice requires hospitalization for examination and treatment.

Wang Bin emphasized that hemolytic disease of newborns is one of the more common causes of pathological jaundice. If the baby develops jaundice early, the mother has blood type O and the father has blood type A or AB or B blood , one must be highly vigilant about the consequences of blood type incompatibility. Hemolytic disease can cause jaundice and anemia in children. Jaundice progresses quickly and is severe. If the treatment is not timely, it can easily cause neonatal bilirubin encephalopathy. Therefore, after the child is born, you must be more vigilant, pay attention to the changes in jaundice at all times, and take effective treatment measures in time.(Wu Xiaoyan Huang Yihua)

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