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120 Cases of Exchange Transfusion.

Journal of the Korean Pediatric Society 1977;20(10):739-750.
Published online October 31, 1977.
120 Cases of Exchange Transfusion.
Keun Lee
Dept. of Pediatrics, Ewha Womans University Medical College, Korea.
신생아 중증황달과 교환수혈에 대한 임상적 고찰
李 根
이화여자대학교 의과대학 소아과학교실
Abstract
Records of 120 cases of exchange transfurious performed at Ewha Womans University Hospital were reviewed and analyzed. 1) 0.45% of infants born at Ewha Hospital had exchange transfusions. Of the total infants exchanged, 33.9% was infants born outside but admitted due to hyperbilirubinmia. 2) Hemolysis due to ABO incompatibility was the most common (36.7%) etiology of jaundice and the incidence of repeated exchange transfusion was higher (66%) than cases due to other etiologies. 3) The rate of failure to complete the transfusion as planned was 2.5% and in the majority cases the procedure were stopped due to technical problems and detdrioration of clinical status of infants. 4) There was no evidence of serious or permanent sequelae due to the exchange transfusion in this study. The mortalityrate was 1.0% which was comparable with the result of other studies.


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