论文部分内容阅读
目的探讨应用换血术治疗新生儿高胆红素血症对血液内环境各项指标可能造成的变化及其安全性。方法对32例重度高胆红素血症的患儿行外周动静脉同步换血术,监测换血前后血清总胆红素、血常规、血糖、血气分析及血电解质等的变化。结果 32例患儿经换血后总胆红素值下降显著(P<0.001),血白细胞、血小板及血清游离钙较换血前下降(均P<0.01),血钠、钾及血红蛋白、红细胞比容、血糖与换血前比较差异无统计学意义(均P>0.05)。结论换血术能有效降低血清胆红素值,对血清钠、钾无明显影响,对血钙、白细胞、血小板有影响。
Objective To investigate the possible changes and safety of transfusion of transfusion for the treatment of neonatal hyperbilirubinemia on various indexes of blood environment. Methods Thirty-two children with severe hyperbilirubinemia underwent synchronous peripheral arterial venous shunting, and the changes of serum total bilirubin, blood routine, blood glucose, blood gas and blood electrolytes were monitored before and after transfusions. Results The total bilirubin value decreased significantly (P <0.001) in 32 children after transfusions, and the levels of white blood cells, platelets and serum free calcium were lower than those before transfusions (all P <0.01). Serum sodium, potassium and hemoglobin, hematocrit , There was no significant difference between before and after blood glucose (all P> 0.05). Conclusion Blood transfusion can effectively reduce the serum bilirubin value of serum sodium and potassium had no significant effect on serum calcium, white blood cells, platelets have an impact.