论文部分内容阅读
目的探讨双管同步换血技术在新生儿换血中的临床疗效。方法选取2014年10月-2015年5月该院收治的新生儿溶血症患儿50例为研究对象,采用外周动静脉双管同步换血法进行治疗,比较治疗前后患儿各项指标的变化情况。结果换血后,患儿血清胆红素水平明显降低,差异有统计学意义(P<0.05)。换血前后,患儿血红蛋白、血压、血p H值、血钠水平比较,差异无统计学意义(P>0.05);血钾、血钙、血糖水平比较,差异有统计学意义(P<0.05)。结论新生儿双管同步换血治疗效果显著,对机体内环境有一定的影响,可出现高血糖症、电解质紊乱等不良反应。患儿需要做好术后监护,预防并发症的发生,以提高临床疗效。
Objective To investigate the clinical efficacy of double-tube synchronized blood exchange in neonatal blood transfusion. Methods Fifty cases of neonatal hemolytic disease admitted to our hospital from October 2014 to May 2015 were enrolled in this study. The peripheral arteriovenous sychronized blood transfusion method was used to compare the changes of various indexes before and after treatment . Results After changing blood, the level of serum bilirubin in children was significantly lower (P <0.05). There was no significant difference in hemoglobin, blood pressure, blood p H value and serum sodium before and after the exchange of blood (P> 0.05). There was significant difference in blood potassium, serum calcium and blood glucose (P 0.05) . Conclusions The double-tube synchronized blood transfusion in neonates has a significant effect on the internal environment of the body and may cause adverse reactions such as hyperglycemia and electrolyte imbalance. Children need to do postoperative care, prevention of complications, in order to improve clinical efficacy.