实用临床医学
實用臨床醫學
실용림상의학
Practical Clinical Medicine
2009年
5期
102-105
,共4页
输液泵%换血术%护理%高胆红素血症,新生儿
輸液泵%換血術%護理%高膽紅素血癥,新生兒
수액빙%환혈술%호리%고담홍소혈증,신생인
pump%exchange transfusion%nursing care%hyperbilirubinemia,neonatal
目的 总结输液泵控制换血治疗新生儿重症黄疸的护理经验.方法 应用输液泵控制换血疗法,对50例重症黄疸新生儿实施换血.术前予患儿必要的镇静、血液适度加温,行外周动、静脉留置针穿刺,形成封闭的换血回路;术中由输液泵控制出、入血量的速度,密切观察生命体征和出入血量的变化,动态监测血pH值、血糖、血生化、血清总胆红素浓度等;术后继续监测生命体征,加强兰光治疗的护理.结果 50例换血过程顺利,平均换血时间(154.2±20.78)min;血清总胆红素浓度换血前为(478.36±59.25)μmol/L,换血后为(237.75±43.42)μmol/L,总胆红素换出率为50.30%.结论 输液泵控制换血治疗新生儿重症黄疸安全实用、操作简便、疗效显著.精心、细致、周到的护理是换血成功的保证.
目的 總結輸液泵控製換血治療新生兒重癥黃疸的護理經驗.方法 應用輸液泵控製換血療法,對50例重癥黃疸新生兒實施換血.術前予患兒必要的鎮靜、血液適度加溫,行外週動、靜脈留置針穿刺,形成封閉的換血迴路;術中由輸液泵控製齣、入血量的速度,密切觀察生命體徵和齣入血量的變化,動態鑑測血pH值、血糖、血生化、血清總膽紅素濃度等;術後繼續鑑測生命體徵,加彊蘭光治療的護理.結果 50例換血過程順利,平均換血時間(154.2±20.78)min;血清總膽紅素濃度換血前為(478.36±59.25)μmol/L,換血後為(237.75±43.42)μmol/L,總膽紅素換齣率為50.30%.結論 輸液泵控製換血治療新生兒重癥黃疸安全實用、操作簡便、療效顯著.精心、細緻、週到的護理是換血成功的保證.
목적 총결수액빙공제환혈치료신생인중증황달적호리경험.방법 응용수액빙공제환혈요법,대50례중증황달신생인실시환혈.술전여환인필요적진정、혈액괄도가온,행외주동、정맥류치침천자,형성봉폐적환혈회로;술중유수액빙공제출、입혈량적속도,밀절관찰생명체정화출입혈량적변화,동태감측혈pH치、혈당、혈생화、혈청총담홍소농도등;술후계속감측생명체정,가강란광치료적호리.결과 50례환혈과정순리,평균환혈시간(154.2±20.78)min;혈청총담홍소농도환혈전위(478.36±59.25)μmol/L,환혈후위(237.75±43.42)μmol/L,총담홍소환출솔위50.30%.결론 수액빙공제환혈치료신생인중증황달안전실용、조작간편、료효현저.정심、세치、주도적호리시환혈성공적보증.
Objective To sum up the experiences of nursing care for hyperbilirubinemia neonates treated with pump controlled exchange transfusion.Methods Pump controlled exchange transfusion was administered to 50 cases of neonate hyperbilirubinemia.Before the operation,necessary sedation should be conducted and the blood bag should be properly heated and loop of transfusion would be formed via puncture of the peripheral artery and vein;In the course of the operation,the speed was controlled by the pump,the vital signs and the change of blood volume were closely observed,the pH value of blood,blood sugar,blood biochemistry and the concentration of serum total bilirubin had been dynamically monitored;After the operation,vital signs were continuously monitored and the nursing care for phototherapy was enforced.Results 50 cases of transfusion were all successful.The average time of transfusion was (154.2± 20.78)minutes.Before the transfusion the level of serum total bilirubin was (478.36±59.25)μmol/L which dropped to (237.75±43.42)μmol/L after the transfusion.The exchange rate of serum total bilirubin was 50.30%.Conclusion The treatment of pump controlled exchange transfusion has a remarkable efficacy on the neonates with hyperbilirubinemia,and elaborate and delicate nursing is essential for its success.
