中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
CHINESE PEDIATRIC EMERGENCY MEDICINE
2013年
5期
501-503
,共3页
婴儿,新生%贫血,相关因素
嬰兒,新生%貧血,相關因素
영인,신생%빈혈,상관인소
Neonate%Anemia%Relevant factors
目的 探讨新生儿贫血的临床特点、病因及相关临床因素.方法 对我院2009年1月至2012年3月收治的264例新生儿贫血病例按照不同程度贫血、不同日龄、不同胎龄进行临床特点及病因分析.结果 264例新生儿贫血中失血性贫血所占比例较高(54.5％,144/264),轻中度贫血较重度贫血常见(172 vs 92).胎-母输血更常见于重度贫血(16.3％,15/92).早期贫血多于晚期贫血(182 vs 82).早期贫血以失血性贫血为主(64.3％,117/182),晚期贫血以感染性为主(67.1％,55/82).胎-母输血均为早期贫血,胎-母输血中足月儿所占比例较高(94.4％,17/18),双胎输血以早产儿为主(96.7％,29/30).结论 新生儿贫血中失血性贫血为主要原因,轻中度贫血较重度贫血常见,早期贫血多于晚期贫血,足月儿与早产儿发生贫血的原因有所不同.
目的 探討新生兒貧血的臨床特點、病因及相關臨床因素.方法 對我院2009年1月至2012年3月收治的264例新生兒貧血病例按照不同程度貧血、不同日齡、不同胎齡進行臨床特點及病因分析.結果 264例新生兒貧血中失血性貧血所佔比例較高(54.5％,144/264),輕中度貧血較重度貧血常見(172 vs 92).胎-母輸血更常見于重度貧血(16.3％,15/92).早期貧血多于晚期貧血(182 vs 82).早期貧血以失血性貧血為主(64.3％,117/182),晚期貧血以感染性為主(67.1％,55/82).胎-母輸血均為早期貧血,胎-母輸血中足月兒所佔比例較高(94.4％,17/18),雙胎輸血以早產兒為主(96.7％,29/30).結論 新生兒貧血中失血性貧血為主要原因,輕中度貧血較重度貧血常見,早期貧血多于晚期貧血,足月兒與早產兒髮生貧血的原因有所不同.
목적 탐토신생인빈혈적림상특점、병인급상관림상인소.방법 대아원2009년1월지2012년3월수치적264례신생인빈혈병례안조불동정도빈혈、불동일령、불동태령진행림상특점급병인분석.결과 264례신생인빈혈중실혈성빈혈소점비례교고(54.5％,144/264),경중도빈혈교중도빈혈상견(172 vs 92).태-모수혈경상견우중도빈혈(16.3％,15/92).조기빈혈다우만기빈혈(182 vs 82).조기빈혈이실혈성빈혈위주(64.3％,117/182),만기빈혈이감염성위주(67.1％,55/82).태-모수혈균위조기빈혈,태-모수혈중족월인소점비례교고(94.4％,17/18),쌍태수혈이조산인위주(96.7％,29/30).결론 신생인빈혈중실혈성빈혈위주요원인,경중도빈혈교중도빈혈상견,조기빈혈다우만기빈혈,족월인여조산인발생빈혈적원인유소불동.
Objective To investigate the clinical features,etiology and related clinical factors in neonatal anemia.Methods Two hundreds and sixty four infants admitted to the Neonatal Intensive Care Unit between January 2009 to March 2012 were retrospectively analysed with different levels,different age,different gestational age.Results Among 264 patients,the occupancy of blood loss anemia was 54.5 ％.Mild and medium neonatal anemia were more than severe anemia (172 vs 92).Fetomaternal hemorrhage syndrome occurred commonly in severe anemia (16.3％,15/92).Early anemia was more than late anemia(182 vs 82).Hemorrhagic anemia in early anemia (64.3％,117/82)occurred mainly.Late anemia with infection mainly (67.1％,55/82).Fetomaternal hemorrhage syndrome were all early anemia and term to account for a higher proportion (94.4％,17/18);twin-to-twin transfusion syndrome occurred commonly among preterm term infants (96.7％,29/30).Conclusion Blood loss anemia was the main etiological factor resulting in neonatal anemia.The incidence of mild and medium neonatal anemia was quite high.Early anemia was more than late anemia.There might be some differences in the etiology between term and perterm infants.
