新生儿高胆红素血症外周动静脉换血疗法及护理

目的观察外周动静脉换血法治疗重症新生儿高胆红素血症的效果及采取的护理措施。方法对35例重症高胆红素血症患儿采用外周动静脉换血疗法,外周静脉输血,外周动脉抽血,均用输液泵控制,速度200～240ml/h。置辐射台上保暖,在换血的过程同时给予光疗。结果 35例患儿血清总胆红素在换血前为（552±101.2）μmol/L,换血后为（250.3±75.4）μmol/L,两者差异有统计学意义,P〈0.01,总胆红素换出率54.7%。结论输液泵控制的外周动静脉换血法简单、实用、安全,是治疗重症新生儿高胆红素血症的有效方法。优良的护理对提高换血的成功率,减少并发症起着重要作用。

The nursing of arteria-vein exchange transfusion in neonatal hyperbilirubinemia

Objective To evaluate the effect and investigate the nursing of arteria-vein exchange transfusion in severe neonatal hyperbilirubinemia.Methods 35 newborns with severe hyperbilirubinemia were treated with automated homochronous arteria-vein exchange transfusion.The velocity were 200～240 ml per hour,which was controled by infusion pump.During treatment,the newborns received phototherapy of white light.Results The serum total bilirubin（μmol/L）after treatment（250.3±75.4）was lower than that before treatment（552±101.2）（P0.01）,The exchange rate of serum total bilirubin was 54.7%。Conclusion homochronous Arteria-vein exchange transfusion controled by infusion pump was simple、practical and safe,it is an effective treatment for severe neonatal hyperbilirubinemia.Careful nursing can improve success rate,reduce complications.