Patient's question:
Hemolytic disease of the newborn (77 days old) occurred spontaneously. Blood transfusion 150 symptoms improved, but the cause is unknownDoctor's answer:
??????If it is confirmed that jaundice is caused by hemolysis, phototherapy can be adopted in treatment, which is a simple and effective method to reduce unconjugated bilirubin in the serum; pharmacological treatment, using albumin, drugs to correct metabolic acidosis, and hepatotoxicity inducers, to increase the binding with unconjugated bilirubin and reduce the occurrence of bilirubin encephalopathy; intravenous immunoglobulin, which can inhibit phagocytes from destroying sensitized red blood cells; exchange transfusion, to remove some free antibodies and sensitized red blood cells in the blood, alleviating hemolysis; to remove a large amount of bilirubin in the blood, preventing the occurrence of bilirubin encephalopathy; correcting anemia, improving oxygen-carrying capacity, and preventing heart failure.