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本文采用Kleihauer法检出母血含有胎儿红细胞,证实胎-母出血是胎儿发病和死亡的重要原因。如能在胎儿发生严重致命损害前做出诊断,悲惨结局即可预防。附3例报告。病例Ⅰ:23岁初产,过预产期2天。主诉胎动减少24小时。胎心产力描记显示胎心过速。破膜后查胎儿头皮血pH7.13。即行剖腹产,娩出一苍白、无力、窒息女婴,重3.3kg,收缩压42mmHg,血色素3.9g/dl,血细胞压积(PCV)0.16。先后输血180ml,血色素升至18.2g/dl,PCV0.56。
This article uses Kleihauer method to detect maternal blood containing fetal red blood cells, confirmed that fetal-maternal hemorrhage is an important cause of fetal morbidity and mortality. If the fetus can be diagnosed before serious and fatal damage, the tragic outcome can be prevented. Attached 3 cases report. Case Ⅰ: 23-year-old primiparous, pre-delivery period of 2 days. Chief complaint decreased fetal movement 24 hours. Fetal labor records show fetal heart rate too fast. Check the fetal scalp after rupture of blood pH7.13. That Caesarean section, delivered a pale, weak, asphyxia baby girl, weighing 3.3kg, systolic blood pressure 42mmHg, hemoglobin 3.9g / dl, hematocrit (PCV) 0.16. Blood transfusion has 180ml, hemoglobin rose to 18.2g / dl, PCV0.56.