|本期目录/Table of Contents|

[1]詹海霞,冯 爱,金红梅,等.动静脉自动同步换血治疗新生儿高胆红素血症的护理及优势[J].医学研究与战创伤救治(原医学研究生学报),2015,17(06):607-609621.[doi:10.3969/j.issn.1672-271X.2015.06.014]
　HAN Hai-xia,FENG Ai,JIN Hong-mei,et al.The nursing advantages of arteriovenous automatically synchronous exchange transfusion in treating the newborn with hyperbilirubinemia[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2015,17(06):607-609621.[doi:10.3969/j.issn.1672-271X.2015.06.014]
点击复制

动静脉自动同步换血治疗新生儿高胆红素血症的护理及优势()
分享到62.8K

《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第17卷
期数:
2015年06期
页码:
607-609621
栏目:
出版日期:
2015-12-15

文章信息/Info

Title:
The nursing advantages of arteriovenous automatically synchronous exchange transfusion in treating the newborn with hyperbilirubinemia
作者:
詹海霞; 冯 爱; 金红梅; 陈光明; 陈丽珠; 梁 微
350025 福建福州,南京军区福州总医院儿科
Author(s):
HAN Hai-xia;  FENG Ai;  JIN Hong-mei;  CHEN Guang-ming;  CHEN Li-zhu;  LIANG Wei.
Department of Pediatrics, Fuzhou General Hospital of Nanjing Military Command, Fuzhou, Fujian 350025, China
关键词:
输液泵; 动-静脉同步换血; 新生儿高胆红素血症; 护理优势
Keywords:
infusion pump;  arteriovenous synchronous exchange;  neonatal hyperbilirubinemia;  nursing advantages
分类号:
R722.1
DOI:
10.3969/j.issn.1672-271X.2015.06.014
文献标志码:
A
摘要:
目的 探讨和总结应用智能输液泵经桡动脉-大隐静脉自动同步换血治疗新生儿高胆红素血症的效果。方法 对42例新生儿高胆红素血症患儿采用套管针留置技术应用智能输液泵进行桡动脉-大隐静脉同步换血。术前做好患儿、环境、物品、备血等准备工作；术中严格无菌操作，调节好同步换血的速度；术后检测胆红素以了解换血效果，精心护理，并继续蓝光治疗。结果 42例患儿均换血成功，血清胆红素下降明显，均未发生明显并发症。结论 应用输液泵经桡动脉-大隐静脉同步换血治疗新生儿高胆红素血症疗效可靠安全，护理操作简单方便，值得在临床进一步推广。
Abstract:
Objective To explore and summarize the effect of application via radial artery, great saphenous vein infusion pump synchronous exchange blood in treating the newborn with hyperbilirubinemia. Methods Trocar lien technology of infusion pump was applied in 42 cases of newborn children with high blood bilirubin by the synchronous exchange of radial artery, great saphenous vein. preparatory work including children environment, the goods and the preparation of blood are prepared before operation. Operation was performed by strict aseptic criterion and the rate of exchange blood was adjusted well. After operation, test bilirubin in order to understand the exchange effect. Elaborate care and blue light treatment were undergoing. Results 42 cases of exchange blood were completely successful, serum bilirubin decreased significantly, and obvious complications were not occurred. Conclusion It is safe, simple, convenient and worthy of further popularization in clinical by application of infusion pump via radial artery-great saphenous vein synchronous exchange blood to treat the newborn with hyperbilirubinemia.

参考文献/References:

[1] 邵肖梅, 叶鸿瑁, 邱小汕. 实用新生儿学[M]. 4版. 北京: 人民卫生出版社, 2012:303. [2] 张情梅, 任榕娜. 新生儿高胆红素血症远期神经发育研究进展［J］. 东南国防医药,2014,16(6):632-634. [3] 龙丽华, 李禄全, 张先红，等. 影响换血疗法治疗新生儿高胆红素血症疗效及不良事件发生的多因素分析［J］. 实用儿科临床杂志, 2011,26(14):1096-1098. [4] Gharehbaghi MM,Hosseinpour SS.Exchange transfusion in neonatal hyperbilirubin aemia：a comparison between citrated whole blood and reconstituted blood［J］. Singapore Med J,2010, 51: 641-644. [5] Mussavi M, Niknafs P, Bijari B. Determining the correlation and accuracy of three methods of measuring neonatal bilirubin concentration［J］. Iran J Pediatr, 2013, 23(3): 333-339. [6] 中华医学会中华儿科杂志编辑委员会. 中华医学会儿科学分会新生儿学组全国新生儿黄疸与感染学术研讨会纪要（附新生儿黄疸十预推荐方案）［J].中华儿科杂志, 2001, 39(3):185. [7] 涂满梅, 辛 萍, 聂 娇， 等. 不同留置针在新生儿换血疗法中的应用［J].当代护士:专科版（下旬刊）,2013(2):63-65. [8] 陈光明, 王承峰, 任榕娜, 等. 改良成分换血在新生儿ABO溶血病中的应用［J］. 中国小儿急救医学, 2009, 16(3):288. [9] 张超敏. 动静脉同步自动换血治疗新生儿溶血病29例临床护理［J］. 齐鲁护理杂志(中旬刊),2012,18(35):68-69. [10] Mark J. Graham, Tate K. Kubose, et al. Heuristic evaluation of infusion pumps: implications for patient safety in intensive care units［J］. Int J Med Inform, 2004，73(11-12):771-779. [11] 黄 桥, 张咏梅, 曾芬莲， 等. 静脉输液外渗性损伤的防护进展［J］. 护理实践与研究(半月版),2013,10(15):114-116. [12] 陈新红, 何华云.舒适护理在新生儿换血疗法中的应用［J].全科护理,2012,10(3):222-223. [13] 丁晓华, 王 松, 李胜玲. 非营养性吸吮在早产儿护理中的研究进展[J]. 护士进修杂志, 2010, 25(4):637-638. [14] 卢晓燕, 谭 玮.钙剂治疗对高胆红素血症新生儿换血术后血钙的影响［J].实用临床医学,2013,14(8)：62-64. [15] Chen TK，Yang CY，Chen SJ.Calcinosis cutis complicated by compartment syndrome following extravasation of calcium gluconate in a neonate: a case report[J].Pediatr Neonatol, 2010，51(4)：238-241. [16] Abbas W, Atria NI, Hassanein SM. Two-stage single-volume exchange transfusion in severe hemolytic disease of the newborn［J］. J Matern Fetal Neonatal Med, 2012, 25:1080-1083. [17] 戴万案, 罗吉平, 邱妮妮.全自动换血疗法对高胆红素血症患儿内环境的影响［J].重庆医学,2012,41(29)：3094-3096.

相似文献/References:

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2015-11-20