Application of neonatal hyperbilirubinemia peripheral artery and vein care shake.docVIP

 PAGE \* MERGEFORMAT 8 Application of neonatal hyperbilirubinemia peripheral artery and vein care shake [Keywords:] neonatal hyperbilirubinemia peripheral vein blood transfusion care Pathologic jaundice is a disease in newborn common disease, its causes complex and diverse, serum bilirubin increased, especially unconjugated bilirubin can lead to bilirubin encephalopathy, the patients with different left degree of neurological sequelae. our hospital in January 2005 began with peripheral arterial and venous blood transfusion for heavy and high unconjugated hyperbilirubinemia treated patients, received very good results, now nursing are described below. 1 Subjects and methods 1.1 The selected object January 2005 to August 2009 were born in our hospital maternity line with exchange transfusion indications, and signed by the parents agreed to accept the high exchange transfusion in children with unconjugated hyperbilirubinemia, a total of 11 cases, 9 cases were male, female 2 cases, 10 cases of full-term children, premature children in 1 case, blood transfusion day: 0 ~ 3 d, 3 , 4 ~ 6 d, 7 , 7 d, 1 cases, birth weight: 2 650 ~ 4 000g. cause : ABO hemolytic 4 cases, infection in 4 cases, 3 cases of perinatal factors, including hypoxic ischemic encephalopathy in 1 case, 1 case of cranial hematoma, epidural hematoma in 1 case. 1.2 The indication for exchange transfusion According to the China branch of medical science a while to develop neonatal jaundice neonatal group recommended intervention program [1], given exchange transfusion therapy. 1.3 exchange transfusion method The radial artery (or the femoral artery indwelling catheter after the success of vascular access road tee for the row, three tubes were connected with heparin solution (concentration of 6.25 U / mL syringe, 20 mL syringe with blood and waste Xue Ping , peripheral venipuncture blood transfusion followed by constant infusion pump connected to the blood bags as the blood chan