Dunn P A, Bhutani V, Weiner S, Ludomirski A
Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
J Obstet Gynecol Neonatal Nurs. 1988 Nov-Dec;17(6):382-6. doi: 10.1111/j.1552-6909.1988.tb00462.x.
Erythroblastosis fetalis, hemolytic disease of the newborn, occurs when an isoimmunized mother produces antibodies that cross the placenta and cause hemolysis of fetal red blood cells. This hemolysis can be accompanied by severe anemia, ascites, pleural and pericardial effusions, congestive heart failure, and neurological damage with resultant perinatal mortality. Rh isoimmunization in pregnancy still occurs in spite of the advent of Rh immune globulin. This article describes the complex management and nursing implications associated with caring for the neonate with erythroblastosis fetalis.
胎儿成红细胞增多症，即新生儿溶血病，是指免疫的母亲产生的抗体穿过胎盘并导致胎儿红细胞溶血时发生的病症。这种溶血可能伴有严重贫血、腹水、胸腔和心包积液、充血性心力衰竭以及神经损伤，从而导致围产期死亡。尽管有了Rh免疫球蛋白，但孕期Rh免疫仍有发生。本文描述了与护理患有胎儿成红细胞增多症的新生儿相关的复杂管理和护理问题。
