外周动静脉同步换血治疗新生儿重症溶血症43例  

作　　者：王庆九[1] 刘玉霞[1] 殷玲[1] 

机构地区：[1]新乡市中心医院儿科,453000

出　　处：《当代医学》2009年第3期29-30,共2页Contemporary Medicine

摘　　要：目的探讨外周动静脉同步换血治疗新生儿重症溶血症的可行性与疗效。方法对43例重症溶血症患儿采用外周动静脉同步换血,应用多功能监护仪监测生命体征,换血前后作血生化、电解质等检查。结果血清胆红素在换血后明显下降,总胆红素换出率为44%,换血后无明显并发症。结论应用外周动静脉同步换血方便、实用、安全,近期无并发症,利于推广。Objective To investigate the effect and reliability of exchange transfusion for neonates hyperbilirubinemia. Methods Exchange transfusion was performed through the peripheral vesselson 43 cases of hyperbilirubinemia. The vitalsigns and relevant material were recorded by monitor.The level of blood boichemistrys and blood electrolytes were measured before and after exchange transfusion. Results Total serum bilirubin （TSB） was markedly decreased and Directed bilirubin （DBIL） was no obvious complications after exchange transfusion. Conclusion The exchange transfusion through peripheral vessels is convenient.useful and safe. It is easily popularized.

关 键 词：换血疗法 新生儿 重症溶血症 

分 类 号：R722.1[医药卫生—儿科]