Can Fam Physician. 1977 Dec;23:60-8.
Administration of Rh immune globulin to the Rh-negative unimmunized woman at risk of Rh-immunization is highly effective if given in sufficient dose prior to active Rh-immunization. Remaining problems are: 1. treating all of those at risk, 2. protecting those who abort, 3. treating after amniocentesis, 4. instituting an antenatal prophylaxis program to protect the 1.8 percent immunized too early to be protected by post-delivery injection of Rh immune globulin, 5. protecting those who have had massive transplacental fetal hemorrhages. All physicians practicing obstetrics should ensure that all of their unimmunized Rh-negative women are protected against Rh-immunization.
给有风险的 Rh 阴性未免疫妇女注射 Rh 免疫球蛋白,如果在主动 Rh 免疫之前给予足够剂量,对预防 Rh 免疫非常有效。仍存在以下问题:1. 治疗所有有风险的人,2. 保护流产的人,3. 羊膜穿刺后治疗,4. 制定产前预防计划,以保护 1.8%因过早分娩而无法通过产后注射 Rh 免疫球蛋白进行保护的免疫人群,5. 保护那些曾发生大量胎盘胎儿出血的人。所有从事产科的医生都应确保所有未免疫的 Rh 阴性妇女都能免受 Rh 免疫。