On November 15, the leader of Hue Central Hospital said that a newborn baby with a rare severe hemolytic jaundice was successfully treated and discharged from the hospital.
Previously, on November 7, the Neonatal Intensive Care Unit - Newborn Pediatrics (Hue Central Hospital Pediatrics Center) received a newborn patient from Quang Binh province for treatment on the same day. According to the medical records, shortly after birth, the child showed signs of early jaundice down to the soles of the feet, accompanied by severe anemia and bilirubin levels that skyrocketed to an alarming level.
Doctors at Hue Central Hospital urgently examined and performed in-depth tests and concluded that the newborn patient had severe hemolytic anemia due to Rhesus blood group incompatibility between mother and child.
Doctors at Hue Central Hospital performed continuous blood transfusions for 2 hours combined with phototherapy to save the life of a newborn patient with rare severe hemolytic jaundice. (Photo: Hue Central Hospital)
Specifically, the child's mother has blood type B Rh(-) and anti-D (+) antibodies, while the child has blood type B Rh (+). The Coombs test results are highly positive. If not treated immediately, the disease can cause severe anemia, heart failure, and irreversible brain damage.
Although doctors continuously performed phototherapy, transfused washed red blood cells of group O, transfused Immunoglobulin and fresh plasma, the child's condition continued to worsen.
Therefore, the Board of Directors of the Pediatric Center of Hue Central Hospital had to hold an emergency consultation and decided to perform a 2-hour continuous blood exchange for the child at 50 hours of age via the umbilical artery-venous route.
After the blood exchange, the patient began to show positive changes and continued to receive phototherapy and immunoglobulin. After that, the worrying bilirubin level dropped below the threshold for phototherapy. The child recovered day by day and is now alert and flexible, and can be discharged.
Doctor CKII. Nguyen Thi Thao Trinh - Deputy Head of the Department of Neonatal Intensive Care - Newborn Pediatrics (Pediatric Center, Hue Central Hospital) said that Rhesus factor incompatibility is extremely dangerous. This condition can cause severe anemia, severe jaundice, which can lead to many serious complications.
This condition occurs when the mother is Rh(-), while the father and child are Rh(+). During pregnancy, some of the fetus's Rh(+) red blood cells can enter the Rh(-) mother's blood, stimulating the mother's body to produce antibodies against Rh(+). These antibodies can cross the placenta into the fetus's body, destroying red blood cells and leading to severe hemolysis.
Source: https://vtcnews.vn/hai-gio-thay-mau-cuu-song-benh-nhi-so-sinh-bi-vang-da-tan-mau-hiem-gap-ar907676.html
Comment (0)