新生儿溶血病78例换血疗法的护理  

Nursing experience on blood transfusion therapy in 78 cases of newborn hemolytic disease

作　　者：闫洁[1] 

机构地区：[1]洛阳市妇女儿童医疗保健中心新生儿科,河南洛阳471001

出　　处：《现代医药卫生》2013年第8期1160-1161,共2页Journal of Modern Medicine & Health

摘　　要：目的探讨周围动静脉同步换血治疗新生儿溶血病的护理。方法采用套管针留置术对78例新生儿溶血病进行动静脉同步换血。结果 78例患儿换血过程顺利,换血前平均总胆红素(458.75±131.19)μmol/L,换血后平均总胆红素(177.38±53.23)μmol/L,换血后血清胆红素水平明显下降,差异有统计学意义(P<0.01),未发生严重并发症,均一次换血成功。结论外周动静脉同步换血是一种简单、安全又高效的换血方法。换血前的充分准备、换血过程中的医护密切配合以及换血后的细致护理是换血成功的关键。Objective To explore the nursing care on synchronous exchange transfusion for treating newborn hemolytic disease. Methods 78 cases with newborn hemolytic disease were selected and treated by peripheral arteriovenous synchronous exchange transfusion with indwelling trocar. Results The process of exchange transfusion was smoothly performed in 78 cases. The mean total bilirubin before and after exchange transfusion were （458.75±131.17 ）μmol/L and （177.38±53.22）μmol/L respectively, and the serum bilirubin concentrations were significantly decreased after exchange transfusion （P〈0.01）. No severe complications were found and 78 cases all were successful by once exchange transfusion. Conclusion Peripheral arteriovenous synchronous exchange transfusion is a simple, safe and highly effective exchange tranfusion method. Full preparation before exchange transfusion, close cooperation of the doctors and nurses during the process of exchange transfusion, and careful nursing after exchange transfusion are the key to the success.

关 键 词：血浆置换 护理 幼红细胞增多症 胎儿 护理 新生儿溶血病 换血疗法 

分 类 号：R722.18[医药卫生—儿科]