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The Response of Leukocytes in the Peripheral Blood Following Exchange Transfusion in the Newborn.

Journal of the Korean Pediatric Society 1983;26(11):1049-1054.
Published online November 30, 1983.
The Response of Leukocytes in the Peripheral Blood Following Exchange Transfusion in the Newborn.
Young Mo Sohn, Yu Young Chang, Young Ho Kim, Kir Young Kim
Department of Pediatrics, College of Medicine, Yonsei University, Seoul, Korea
신생아에서 시행한 교환수혈후 말초혈액내 백혈구상의 변화
손영모, 장유영, 김영호, 김길영
연세대학교 의과대학 소아과학교실
Abstract
We have studied the hemoglobin level and. leukocyte count of 23 fullterm and 1 premature jaundiced babies soon after exchange transfusion and daily thereafter until 7 days. The resixlts are: 1) One exchange transfusion was enough in 16 patients but 8 were required more than 2times of exchange transfusion. The maximum is 6 times. 2) The postnatal age was ranged from 1 〜9 days (mean 4 days). 3) All patients showed a marked decrease in the hemoglobin level and leukocyte count soon after exchange transfusion. The leukocyte count returned to normal by the 7th posttransfusion day but hemoglobin level was still lower than normal until 7th posttransfusion day. 4) The polymorphonuclear neutrophils and eosinophils showed rapid increase after transfusion, and returned to normal value within 7 days after transfusion. 5) The lymphocytes and monocytes showed slow increase within 3〜4 days and returned. normal value on about 7th posttransfusion day.
Key Words: Exchange Transfusion, Leukocytes, Neonatal Hyperbilirubinemia.


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