换血治疗新生儿重症溶血病的护理

Nursing of Exchange Transfusion for Treating Severe Hemolytic Disease of Infants

目的探讨换血疗法治疗新生儿重症溶血病的最佳护理措施。方法采用外周动静脉同步换血疗法,加强术前、术中及术后的监护,采取相应的护理措施。结果46例重症溶血病的患儿换血后血清胆红素明显下降,换血后无并发症发生。结论重症溶血病的患儿一经入院,护士即应作好换血疗法的急救准备,统筹安排时间,做好严密的监护,才能赢得抢救时机,减少并发症的发生。

Objective To explore the best nursing measure of exchange transfusion for treating severe hemolytic disease of infants. Methods Peripheral arteriovenous synchronization of exchange transfusion was used, strengthened the monitoring of preoperative, intraoperative and postoperative, and took the corresponding nursing measure. Results Forty sixth cases of newborn infants with severe hemolytic disease, the rate of serum bilirubin decreased significantly and there were no complications after exchange transfusion. Conclusion As the newborn infants with severe hemolytic disease are on hospitalization, the nurses must prepare the emergency treatment, arrange the replacement transfusion and keep strict monitoring, in order to save time for rescue and decrease the occurrence of complications.