论文部分内容阅读
目的:探讨二级医院开展全自动换血疗法治疗重度新生儿高胆红素血症的有效性、安全性、可行性。方法:对16例重度高胆红素血症患儿采用外周动静脉留置针穿刺接三通管,建立换入换出血通道,换出通道三通管另一端接肝素生理盐水,分别由三输液泵全自动控制输血速度为65ml.kg-1.h-1。术前、术中、术后检测血常规、肝功能、电解质、血糖、血气,监测生命体征。结果:总胆红素、间接胆红素平均换出率分别为48.49%、50.17%。总胆红素、间接胆红素换血前、后分别比较差异均有统计学意义(P<0.05),患儿血常规、肝功能、电解质、血糖、血气及生命体征比较平稳,换血过程顺利,无不良反应发生。结论:三输液泵全自动换血疗法治疗重度新生儿高胆红素血症疗效确切、安全,操作简便、易掌握,减少人力、财力,值得在二级医院推广应用。
Objective: To investigate the effectiveness, safety and feasibility of automatic blood transfusion therapy in secondary hospital for severe neonatal hyperbilirubinemia. Methods: 16 cases of severe hyperbilirubinemia in children with peripheral arteriovenous catheter puncture access tee, the establishment of exchange into the bleeding channel, swap out the other end of the tee channel heparin saline, respectively, by the three infusion Pump fully automatic control of blood transfusion speed of 65ml.kg-1.h-1. Preoperative, intraoperative and postoperative blood tests, liver function, electrolyte, blood glucose, blood gas, monitoring vital signs. Results: The average turnover rates of total bilirubin and indirect bilirubin were 48.49% and 50.17% respectively. Total bilirubin, indirect bilirubin before and after transfusions, respectively, were statistically significant differences (P <0.05), children with blood, liver function, electrolytes, blood glucose, blood gas and vital signs were relatively smooth, the exchange process is smooth, No adverse reactions occurred. Conclusion: Three-infusion pump automatic blood transfusion therapy for the treatment of severe neonatal hyperbilirubinemia is effective, safe, easy to operate, easy to grasp and reduce manpower and financial resources, which is worth popularizing and applying in secondary hospitals.