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KMID : 0367419760170030015
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Journal of Korean Pediatric Society
1976 Volume.17 No. 3 p.15 ~ p.21
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Studies on Neonatal Hyperbilirubinemia and Exchange Transfusion
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李順喜/Lee, Sun Hi
曺昌周/李琦寧/陳東植/Cho, Chang Joo/Lee, Ki Young/Chin, Dong Shik
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Abstract
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78 cases of neonatal hyperbilirubinemia who had exchange transfusion were studied clinically. The}- were admitted to Severance Hospital from Julv 1962 to June 1971 and the results were as follows.
1. They v: ere consisted of 37 cases (47.4%) of ABO incompatibiiity, 16 cases of physiologic jaundice ;2,01. 0,~; 8 cases of Rh incompatibility (10.0%) and 2 cases of septicemia (2.6%), 15 cases (20?~) revealed no outstanding causes of jaundice and male to female ratio was 2 : 1.
2. In most cases, jaundice were appeared on 2nd to 3rd day and exchange transfusions were performed on 3rd to 5th day after birth.
3. Blood types of mother-baby in ABO incompatibility were O-B (499/6), O-A (375VQ and A-B (e,) in oder of frequency.
4. 111 FO´ of cases were perforoned more than one exchange transfusions and 11 cases had received exchange transfusions more than 3 times.
5. Indications for exchange transfusions were most commonly seen in the cases with high serum bilirubin level (20mg% or more) within 5 days ofter birth and positive direct coombs test in Rh negative cases
6. 4 cases C10,, 0) were developed kernicterus. 10 cases (12.2%) were succumbed after exchange transfusion and most of them were premature babies.
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