新生儿外周动静脉同步换血疗法的临床应用  

The Application of Automatic Synchronized Blood Exchange Therapy of Newborn Infants' Peripheral Arteries and Veins

作　　者：木英[1] 王春如[1] 彭海燕[1] 罗燕[1] 姚娜[1] 梁文兵[1] 

机构地区：[1]昆明市第一人民医院儿科,云南昆明650011

出　　处：《昆明医学院学报》2010年第10期96-98,共3页Journal of Kunming Medical College

摘　　要：目的探索经外周动静脉全自动换血疗法的可行性及实用性.方法对12例患儿采用外周动静脉留置针穿刺,形成封闭的换血回路,静脉输血及动脉排血均由输血泵控制,使换血过程在封闭的回路中按设定的速度自动进行.结果换血过程顺利,12例患儿换血后总胆红素明显下降,换血前后胆红素对比有显著降低(P<0.01).结论由输血泵控制,外周动静脉同步换血是抢救重症新生儿高胆红素血症简便易行、安全有效的方法,值得推广.Objectives To explore the feasibility and practicability of the automatic synchronized blood exchange therapy of peripheral arteries and veins.Methods After applying catheter penetration in peripheral veins and arteries to twelve patients,a confined loop of blood exchange was formed.The blood injection to veins and ejection from arteries were both controlled by the blood transfusion pump.This device allowed the blood interchanging in the confined loop to process automatically at a pre-seted speed.Results Blood exchange processed successfully.The serum levels of total bilirubin decreased significantly after blood exchange therapy in the 12 cases（P〈0.01）.Conclusions The automatic synchronized blood exchange therapy of peripheral veins and arteries,which is controlled by the blood transfusion pump;is a feasible method to practice in severe case of rescuing newborn infants from hyperbilirubinemia.The therapy is also worth promoting because of its convenience and security.

关 键 词：外周动静脉 同步 换血疗法 高胆红素血症 

分 类 号：R722[医药卫生—儿科]