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目的探讨换血术治疗新生儿高胆红素血症对新生儿血常规、生化及血气指标的影响。方法检测152名新生儿换血前后血常规、生化及血气并进行分析比较。结果血清总胆红素换血前为(346±125)μmol/L,换血后为(226±93)μmol/L,有明显下降(P<0.05);换血前RBC、Hb、Hct分别为(3.82±1.11)×1012/L、(130±35)g/L、0.38±0.09,换血后为(4.76±1.09)×1012/L、(146±32)g/L、0.42±0.09,有明显上升,均P<0.05;换血前pH为7.41±0.08,换血后pH为7.40±0.20(P>0.05)。结论换血术治疗新生儿高胆红素血症,可获得满意的临床效果。
Objective To investigate the effect of transplanting blood on the blood routine, biochemical and blood gas index of neonates with neonatal hyperbilirubinemia. Methods Blood samples were taken from 152 neonates before and after blood transfusion. Blood samples were taken for analysis and comparison. Results The level of serum total bilirubin was (346 ± 125) μmol / L before transfusions and (226 ± 93) μmol / L after transfusions, with a significant decrease (P <0.05) ± 1.11) × 1012 / L, (130 ± 35) g / L, 0.38 ± 0.09, 4.76 ± 1.09 × 1012 / L, 146 ± 32 g / L and 0.42 ± 0.09 respectively , All P <0.05; pH before transfusions was 7.41 ± 0.08, pH after transfusions was 7.40 ± 0.20 (P> 0.05). Conclusion The transfusion of blood for the treatment of neonatal hyperbilirubinemia can obtain satisfactory clinical results.