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胎儿和新生儿溶血病:历史与现状。

Hemolytic Disease of the Fetus and Newborn: Historical and Current State.

机构信息

The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G1X8, Canada.

The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G1X8, Canada; Unity Health Toronto (St. Michael's Hospital), 61 Queen Street East, 2nd, Floor, Toronto, Ontario M5C2T2, Canada; University of Toronto, 27 King's College Circle, Toronto, Ontario M5S 1A1, Canada.

出版信息

Clin Lab Med. 2021 Mar;41(1):133-151. doi: 10.1016/j.cll.2020.10.009. Epub 2020 Dec 24.

Abstract

Hemolytic disease of the fetus and newborn (HDFN) is an immune-mediated disorder affecting neonates globally, with a range of clinical presentations from severe and life threatening to mild or even asymptomatic. Historically, HDFN has been responsible for a large proportion of perinatal mortality, and, despite advances in diagnosis and management, this morbidity and mortality has not been eradicated. Blood banking techniques and blood transfusion have contributed to improved prophylaxis and management, drastically improving the outcome of newborns with HDFN over the last century.

摘要

胎儿和新生儿溶血病(HDFN)是一种免疫介导的疾病,影响全球新生儿,临床表现从严重且危及生命到轻微甚至无症状不等。历史上,HDFN 是围产儿死亡的主要原因之一,尽管在诊断和治疗方面取得了进展,但这种发病率和死亡率并未消除。血液银行技术和输血有助于改善预防和管理,在上个世纪极大地改善了患有 HDFN 的新生儿的结局。

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