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新生儿红细胞增多症

Neonatal polycythaemia.

作者信息

Bashir Bashir Abdrhman, Othman Suhair Abdrahim

机构信息

Hematology Department, Faculty of Medical Laboratory Sciences, Port Sudan Ahlia College, Port Sudan, Sudan.

Department of Pediatrics, Faculty of Medicine, Red Sea University, Port Sudan, Sudan.

出版信息

Sudan J Paediatr. 2019;19(2):81-83. doi: 10.24911/SJP.106-1566075225.

Abstract

Neonatal polycythaemia has multifactorial causes, and can be designated as active (increased foetal erythropoiesis) or passive (red blood cell transfusion) polycythaemia. Hematocrit estimated from capillary blood (regularly obtained through "heel sticks" in newborns) is normally the principal laboratory feature facility by which polycythaemia is recognszed. An unusually high proportion of haematocrit builds the risk of hyperviscosity, microcirculatory hypoperfusion, and in the long run multisystem organ dysfunction. A report enclosed in this short communication gives a brief review of neonatal polycythaemia, its causes, management and complications.

摘要

新生儿红细胞增多症有多种病因,可分为主动性(胎儿红细胞生成增加)或被动性(红细胞输血)红细胞增多症。通过毛细血管血(通常通过新生儿“足跟采血”获取)估算的血细胞比容通常是识别红细胞增多症的主要实验室指标。血细胞比容异常升高会增加血液高黏滞度、微循环灌注不足的风险,并最终导致多系统器官功能障碍。本简短通讯所附报告简要综述了新生儿红细胞增多症、其病因、治疗及并发症。

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本文引用的文献

1
Hematological disorders at birth in complicated monochorionic twins.复杂单绒毛膜双胎出生时的血液系统疾病。
Expert Rev Hematol. 2017 Jun;10(6):525-532. doi: 10.1080/17474086.2017.1324290. Epub 2017 May 10.
5
[Time of cord clamping and neonatal complications, a prospective study].[脐带结扎时间与新生儿并发症,一项前瞻性研究]
An Pediatr (Barc). 2014 Sep;81(3):142-8. doi: 10.1016/j.anpedi.2013.10.051. Epub 2013 Dec 4.
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Restrictive management of neonatal polycythemia.新生儿红细胞增多症的限制管理。
Am J Perinatol. 2011 Oct;28(9):677-82. doi: 10.1055/s-0031-1280595. Epub 2011 Jun 10.
7
Neonatal polycythemia and hyperviscosity.新生儿红细胞增多症和高黏滞血症。
Semin Fetal Neonatal Med. 2008 Aug;13(4):248-55. doi: 10.1016/j.siny.2008.02.003.
8
Polycythemia in the newborn.新生儿红细胞增多症
Indian J Pediatr. 2008 Jan;75(1):68-72. doi: 10.1007/s12098-008-0010-0.

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