换血疗法治疗新生儿高胆红素血症的临床研究  

Exchange transfusion therapy in treatment of neonatal hyperbilirubinemia and clinical experience

作　　者：李晓莉[1] 吴丹红[1] 杨丽娜[1] 杜英[1] 

机构地区：[1]黑龙江省医院住院处儿科,黑龙江哈尔滨150036

出　　处：《中国医学装备》2009年第3期39-41,共3页China Medical Equipment

摘　　要：目的:总结外周动静脉换血疗法在新生儿高胆红素血症中的应用及护理经验,指导临床工作。方法:回顾分析我科2001年-2007年12月收治的52例高胆红素血症患儿,在行外周动静脉同步换血前、换血中及换血后的护理。结果:换血后监测血清胆红素在正常范围,又例出现暂时性高血糖,1例出现短暂低体温,其余监测指标无明显变化,未发生脱管、外渗及感染等不良并发症。结论:外周动静脉同步换血疗法操作简单易掌握,疗效好,副作用少,而且最大限度地减少了新生儿损伤,缩短了换血时间,费用低,值得临床推广应用。Objective：To summarize the use and nursing experience of peripheral artery and vein therapy shake-up in neonatal hyperbilirubinemia to guide clinical work. Methods：The clinical data of 52 children with hyperbilirubinemia treated in our division were retrospectively analyzed. Results：After the performance, the results of the shake-up monitoring of serum bilirubin were in the normal range, temporary increase of blood sugar found and there was 1 case of temporary low body temperature. There was no significant change in pipes, leakage and infection complications. Conclusion：The peripheral artery and vein therapy shake-synchronous operation is simple and easy to grasp. It has high efficacy, Jess side effects and can minimize the damage of the newborn and shorten the time to shake-up.

关 键 词：新生儿高胆红素血症 外周动脉换血疗法 

分 类 号：R473[医药卫生—护理学]