摘要
目的:观察深静脉全血置换治疗新生儿重症黄疸的临床疗效和安全性。方法:42例重症黄疸,其中18例采用深静脉全血置换为治疗组,24例采用保守治疗为对照组,观察两组患儿一日后总胆红素水平,总住院天数,胆红素脑病发生率以及临床不良反应情况。结果:治疗组胆红素下降快,住院时间短,临床不良反应少,降低了发生胆红素脑病的风险。结论:新生儿重症黄疸采用全血置换疗法疗效好、副作用少。
Objective：to observe the clinical curative effect and safety of severe neonatal jaundice treated with whole blood replacement by deep vein.Methods：42 cases of severe neonatal jaundice,18 cases were treated with whole blood replacement by deep vein,24 cases were treated with conservative treatment,serum total bilirubin,total hospital days,incidence rate of kernicterus and clinical adverse reaction were monitored.Results： the TB of therapy group decend faster,and they had fewer hospital days,less clinical adverse reaction,lower incidence rate of kernicterus.Conclusion： severe neonatal jaundice treated with whole blood replacement by deep vein had better curative effect and less adverse reaction
关键词
新生儿
重症黄疸
全血置换
Neonate
severe neonatal jaundice
whole blood replacement
