Treatment of Neonates with Severe Hyperbilirubinemia by Automated Peripheral Arteriovenous Exchange Transfusion
Chen Jian
Wu Yanbing
Lai Yan
Li Xiaohong
Lu Qiaoqun
Abstract：Objective To investigate the effect of automated peripheral arteriovenous exchange transfusion for treatment of severe hyperbilirubinemia in neonates, and the potential risk factors of complications.Methods37 neonates with severe hyperbilirubinemia underwent automated peripheral arteriovenous exchange transfusion. The changes in the blood gasses, electrolytes and some biochemical indices after and before the treatment were compared, such as serum bilirubin, white blood cells, platelets, hemoglobin, kalium, calcium, pH, et al.Results After the exchange transfusion, the level of the total serum bilirubin decreased signiifcantly(P<0.01). The hemoglobin and the blood glucose increased signiifcantly(P<0.01). The white blood cells, platelets, and calcium decreased signiifcantly(P<0.01). The risk factors of complications were fetus less than 32 weeks, the birth weight less than 1 500 g, and the neonates sick during the exchange transfusion.Conclusion The treatment of neonatal hyperbilirubinemia by peripheral arteriovenous automatic synchronous exchange transfusion is reliable, effective, and easy to operate, which was worthy widely promoted in the clinical application.
Keywords：hyperbilirubinemianeonataltreatmentautomated peripheral arteriovenous exchange transfusioncomplication
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 65-66 )