摘要
目的探讨双管同步抽注法和全自动换血法治疗新生儿高胆红素血症的疗效。方法分别检测采用双管同步抽注法的10例高胆红素血症新生儿和采用全自动换血法的13例高胆红素血症新生儿换血前后胆红素、血电解质、血常规、血糖、pH值变化。结果双管同步抽注法组换血前后总胆红素值分别为（391．13±107．62）mmol／L、（193．40±37．86）mmol／L，总胆红素换出率为50．4％。全自动换血组换血前后总胆红素值分别为（430．33±121.92）mmol／L、（216．83±63．66）mmol／L，总胆红素换出率为49．8％。2组换血前后总胆红素值差异均有显著意义（P〈0．01），2组总胆红素换出率无显著性差异（P〉0．05）。结论全自动换血法简便易行，安全有效，是新生儿换血中较理想的方法。
Objective To explore the curative effect of exchange transfusion using double vessels and automatic exchange transfusion on the treatment of neonatal hyperbilirubinemia. Methods 10 newborn infant patients with high hyperbilirubinemia adopted exchange transfusion using double vessels and 13 cases adopted automatic exchange transfusion. The changes of bilirubin, blood electrolytes, blood routine, blood glucose and pH before and after exchange transfusion were detected, respectively. Results For the method of exchange transfusion using double vessels,the value of total bilirubin before and after exchange transfusion were （391.13± 107.62） mmol/L and （193.40±37.86）mmol/L, respectively; and the clearance rate was 50.4 %. For the method of automatic exchange transfusion,the value of total bilirubin before and after exchange transfusion were （430.33 ± 121.92）mmol/L and （216.83 ± 63.66）mmol/L,respectively;and the clearance rate was 49.8%. Between the two groups,there were significant differences in the total bilirubin detected before and after exchange transfusion. Conclusions The method of automatic exchange transfusion is simple, safe and effective. So it is an ideal method for the infants needing exchange transfusion.
关键词
双管同步抽注法
全自动换血法
新生儿
高胆红素血症
Exchange transfusion using double vessels
Automatic exchange transfusion
Newborn infant
Hyperbilirubinemia
