新生儿脐血输注的临床应用进展  

Progress in the clinical application of cord blood transfusion in neonates

作　　者：韩玥(综述) 祝华平(审校) HAN Yue;ZHU Hua-Ping(Department of Neonatology,Maternal and Child Health Hospital of Hubei Province,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430070,China)

机构地区：[1]华中科技大学同济医学院附属湖北省妇幼保健院新生儿科,湖北武汉430070

出　　处：《中国当代儿科杂志》2025年第4期487-492,共6页Chinese Journal of Contemporary Pediatrics

基　　金：武汉市科技局2022年度知识创新专项基础研究项目(2022020801010517)。

摘　　要：新生儿输血来源多为异体成人血。异体成人血虽然能够为新生儿提供及时有效的输血支持,但其血红蛋白类型和止血系统与新生儿存在差异,且有一定的感染风险。近年来,脐血输注在新生儿早期手术、贫血中的应用价值逐步凸显。研究表明,输注脐血不仅有助于降低早产儿并发症的发生率,还能为新生儿提供更安全的替代输血来源。然而,脐血输注仍未广泛应用。该文综述了新生儿脐血输注的优势、临床应用进展及意义,以期为脐血输注在临床实践中的广泛应用提供依据。The primary source of blood transfusions for neonates is allogeneic adult blood.While allogeneic adult blood can provide timely and effective transfusion support for neonates,there are differences in hemoglobin types and coagulation systems between adults and neonates,along with potential infection risks.In recent years,the clinical value of cord blood transfusion in early surgical interventions and anemia management for neonates has been increasingly recognized.Studies have shown that cord blood transfusion not only reduces the incidence of complications in preterm infants but also provides a safer alternative transfusion source for neonates.However,cord blood transfusion has not yet been widely adopted.This article reviews the advantages,clinical application progress,and significance of cord blood transfusion in neonates,to provide evidence supporting its broader clinical implementation.

关 键 词：脐血 输血 贫血 新生儿 

分 类 号：R722.1[医药卫生—儿科]