周围血管连续换血术治疗重症新生儿溶血病的疗效观察

Study of the superier of the pusistent exchange transfusion by peripheral vascular

目的:探讨周围血管连续换血术治疗重症新生儿溶血病的疗效。方法:ABO溶血、Rh溶血患儿各1例采用脐静脉单路换血术,余2例Rh溶血患儿及1例重度窒息并D IC伴重度贫血患儿采用周围血管连续换血术。术后比较两种方法的疗效。结果:经脐静脉单路换血的2例患儿,1例ABO溶血患儿于术后72 h因心衰死亡,另1例Rh患儿术后9 d痊愈出院;经周围静脉连续换血的3例患儿,术中、术后经过均顺利,痊愈出院。结论:周围血管连续换血术优于脐静脉换血术,周围血管连续换血术可在具有新生儿监护条件的基层医院开展。

Objective： To evalvate the superior of the persistent exchange transfusion by peripheral vasculour and spread this method. Methods： Do the operation of exchange transfusion by umbilical vein on 1 case of ABo hemolysis and 1 case of Rh heymolysis. And perporment the operation of the persistent exchange transfusion by peripheral vascular. Then observe the effect of them . Results： The newborn ABo hemolysis with who was operated with exchange transfusion by umbilical vein died of heart failure. Another on was cure after 9 days. While 3 newborns who were operated with persisten exchange tranfusion cured juse 3 or 5 days later. Conclusion： The later is better them exchange transfusion by umbilical vein. And it may be applied in basic hospital.