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换血治疗新生儿高胆红素血症12例临床观察

Twelve newborns with neonatal hyperbilirubinemia were treated by exchange transfusion

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【作者】 肖少寒杨春何

【Author】 Xiao Shaohan,Yang Chunhe.Department of Pediatrics,The Shenzhen Luohu Hospital of Womenfolk and Infant,Shenzhen 518019

【机构】 深圳市罗湖区妇幼保健院深圳市人民医院 广东深圳518019广东深圳518020

【摘要】 目的探讨换血术治疗新生儿高胆红素血症的疗效。方法对我科重症高胆红素血症患儿12例采用双通道同步换血术,并追踪随访预后。结果患儿换血后胆红素水平显著下降(P<0.01)。结论新生儿高胆红素血症宜早诊断、早治疗。就诊时间越晚,胆红素水平越高,越易发生核黄疸。对于高胆红素血症患儿,可参考血清胆红素水平,BAEP及B∶A比值早期评估预后。

【Abstract】 Objective To investigate the effect of the exchange transfusion.on neonatal hyperbilirubinemia. Methods Exchange transfusions were performed through the peripheral vessesl on 12 newborns with severe hyperbilirubinemia . And they were followed-up by regular visits. Results The blood bilirubin level remardably decreased after exchange transfusion(P<0.01). Conclusion Neonatal hyperbilirubinemia should be diagnosed and treated on early stage.The later were those treated ,the higer bilirubin level would be, and the higher incidence of kernicterus would be. B/A ratio and BAEP are better criteria for early assesses of the prognosis.

【关键词】 新生儿高胆红素血症换血术预后
  • 【文献出处】 基层医学论坛 , 编辑部邮箱 ,2005年08期
  • 【分类号】R722.17
  • 【被引频次】1
  • 【下载频次】11
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