双管同步换血治疗新生儿高胆红素血症的临床分析

• 作 者: 赵安玲 肖富明 洪仙怀 饶祖寿 江华明
• 机 构: 重庆江津区第二人民医院儿科,
• 出 处: 现代生物医学进展
• 发表日期: 2012年12期
• 关键词: 双管同步换血 高胆红素血症 动静脉 血清胆红素 对症处理 换血治疗 术后感染 新生儿血 临床疗效 新生儿时期

目的:探讨外周动静脉双管同步换血术治疗新生儿高胆红素血症临床疗效。方法:回顾性分析了采用外周动静脉双管同步换血术治疗的32例高胆红素血症患儿,比较换血前后血清胆红素的变化。结果:32例患者换血前后总胆红素有明显变化,显著下降(P<0.01)。不过在治疗后出现术后感染2例,经对症处理后痊愈。结论:新生儿外周动静脉双管同步换血术治疗新生儿高胆红素血症简单、实用、安全,值得进一步推广应用。

Objective: To investigate the clinical efficacy of external arteriovenous two-tube simultaneous blood transfusion in the treatment of neonatal hyperbilirubinemia. Methods: Thirty-two children with hyperbilirubinaemia who were treated by double-tube peripheral arteriovenous shunting were retrospectively analyzed. The changes of serum bilirubin before and after transfusions were compared. Results: The total bilirubin in 32 patients changed significantly before and after transfusions (P <0.01). However, after treatment, 2 cases of postoperative infection, recovered after symptomatic treatment. Conclusion: The newborn peripheral arterial-venous double transfusion simultaneously is a simple, practical and safe treatment for neonatal hyperbilirubinemia. It is worth further promotion and application.