摘要
目的 :探讨高胆红素血症外周动静脉同步换血的可行性及疗效。方法 :外周静脉输血 ,速度 1 5 0 ml/h,外周动脉抽血 ,采用留置针头 ,速度参照输血速度 ,血源选择与患儿同型血。多功能监护仪监测生命体征 ,记录有关参数。换血前后行血常规、生化、肝功能、血培养等检查。结果 :总胆红素由换血前 471 .81μmol/L下降至换血后2 5 4.38μmol/L,换出率是 46 .0 8%。平均换血量 1 40 ml/kg。换血后除白细胞、血小板、K+、Na+、BUN有轻微变化外 ,无明显并发症发生。结论 :外周动静脉同步换血是简单、实用、安全和近期无并发症的方法 ,值得推广。
To investigate exchange transfusion using peripheral arteries and veins practicable and effectiveness. Using the catheter was inserted into a vein for infusion of donor blood at a rate of 150ml/houre. The anther catheter connected three way stopcock was inserted into a artery withdraw blood at same rate of infusion. The donor blood type was selected. the same type of newborn infants. Vital signs were monitored electronically and recorded. RBC, WBC, PLT, Bilirubin, K +,Na + and BUN were measured before starting and after finishing. Result. showed: Serum bilirubin concentrations were 471.81 μmol/L before exchange transfusion, and 254.28 μmol/L after exchange. The mean drop in serum bilirubin concentration was 217.53 μmol/L, or 46.08% of the concentration before exchange. RBC and Na + were rasied and WBC, PLT, K, BUN descended after exchange transfusion. Therefore, it is resliget that peripheral vessel exchange transfusion is simple, practicable and safe with few complications.
出处
《新生儿科杂志》
2000年第4期145-147,共3页
The Journal of Neonatology
基金
广东省卫生厅科技立项课题
