All issues > Volume 36(4); 1993

Original Article

J Korean Pediatr Soc. 1993;36(4):469-477. Published online April 15, 1993.

A Clinical Study on Neonatal Exchange Transfusion

Eun Ju EJ Park¹, Eun Wui EW Kim¹, Yang Sook YS Choi¹, Son Sang SS Seo¹

¹Department of Pediatrics, Ilsin Christain Hospital, Pusan, Korea

Abstract

Clinical observation was perfumed on 81 cases who were received exchange transfusion at Ilsin Christian Hospital from January, 1986 to December, 1990. The results obtained were as follows: 1) Among 6,388 cases of neonatal jaundice, the exchange transfusion was performed on 81 cases(1.27%) 2) There was no sex predominance (male 40, female 41). The birth weight of 75 cases(92.6%) ranged from 2,500 gm to 4,000 gm 3) The most predominant delivery type was normal vaginal delivery(66 cases, 81.5%). Instrumental delivery was 9 cases (11.1%) that was higher than control group(4.2%) 4) Analysing the exchanged 81 cases, sepsis accounted for 28 cases(34.6%) of the total exchanged group : ABO incompatibility 25 cases(30.9%), complicated causes 13 cases(16.0%), unknown causes 12 cases(14.8%) and Rh incompatibility 1 cases(1.2%) 5) Repeated exchange transfusion was required in 12 cases(16.0%) 6) In 20 cases(24.7%), exchange transfusion was performed on 7 days or more after birth. In 4 cases(4.9%), including 1 cases of Rh incompatibility, exchange transfusion was done within 24 hours after birth 7) The most common organism of sepsis, which was the most predominant etiology of exchange transfusion was E. coli in 12 cases(31.5%) 8) After exchange transfusion, serum biliubin, Hb and reticulocyte count were decreased by 24%, 22% and 36%, respectively.

Keywords :Exchange transfusion