新生儿外周动静脉同步换血术的护理体会

Nursing experience on neonatal peripheral arteriovenous synchronous blood exchange

目的:探讨外周动静脉同步换血术常见问题并提出护理对策。方法:对42例高胆红素血症新生儿换血资料进行回顾性分析。结果:有3例经二次穿刺成功换血,1例发生动脉堵塞,重新穿刺成功换血,3例术中出血不畅,经过处理后恢复正常;最终42例患儿换血疗法成功进行且有效防止术中及术后并发症的发生。结论:外周动静脉同步换血术为一种安全、简单、高效的方法。护理人员准确细致的护理,有助于减少并发症的发生,促进患儿早日康复。

Objective:To investigate the common problems of arteriovenous synchronous exchange transfusion of peripheral andpropose nursing countermeasures.Methods:Retrospective analysis on42cases of neonatal hyperbilirubinemia exchangetransfusion.Results:There were3cases with two successful puncture blood transfusion,1case of artery clogging,re puncture bloodtransfusion,and3cases with poor bleeding during the operation,and eventually returned to normal after treatment.All of those42cases were exchange transfusion successfully and prevent the occurrence of intraoperative and postoperative complicationseffectively.Conclusion:Peripheral arteriovenous synchronous exchange transfusion is a safe,simple and efficient method.Nursingaccurately and detailed can help to reduce complications,and promote the rehabilitation of infants.