All issues > Volume 33(2); 1990

Original Article

J Korean Pediatr Soc. 1990;33(2):162-169. Published online February 28, 1990.

A Clinical study on the Neonatal Exchange Transfusion.

S Y Song¹, W H Kwon¹, C H Han¹, H L Jeong¹, S Y Kim¹, Y D Kwon¹

¹Department of Pediatrics, Daegu Catholic Hospial, Daegu, Korea

Received: September 9, 1989;  Accepted: September 9, 1989.

Abstract

A clinical observation was performed on patients with neonatal hyperbilirubinemia who were treated by exchange transfusion, and following results were obtained. Exchange transfusion was performed in 31 cases (8% of 383 csases admitted due to neonatal hyperbilirubinemia during the observation period). There was no sex predominance (male 16, female 15). Most common type of delivery was normal varginal delivery (22 cases, 71%). Birth weight of 17 cases (55%) ranged from 2500 gm to 3000 gm. Etiology of hyperbilirubinemia was unknown in 20 cases (65%), sepsis in 9 cases (29%) and blood group incompatibilities in 2 cases (6%). Jaundice appeared 72 hours or more after birth in 14 cases (45%), while it was developed within 24 hours on the cases with blood group incompatibility. In the most cases, exchange transfusion was performed 72 hours or more after birth (27 cases, 87%). Repeated exchange transfusion was required in 4 cases, which included one case with ABO incom- patibility. After exchange transfusion, serum bilirubin, Hb, reticulocyte count was decreased by 60%, 15.7%, 54.5% respectively, but serum calcium level was increased by 30%.

Keywords :Exchange Transfusion