Nursing of newborns with severe hyperbilirubinemia cured with automatic synchronous exchange transfusion through peripheral arteries and veins

Abstract

Objective To investigate the nursing method of automatic synchronous exchange transfusion through peripheral arteries and veins to cure newborns with severe hyperbilirubinemia.Methods 32 newborns with severe hyperbilirubinemia from January 2009 to January 2011 were investigated.All newborns were treated with the method of automatic synchronous exchange transfusion through peripheral arteries by two professional nurses,one to transfuse through arteries and one through veins.Blood ejection was stopped when 30 ml was left in the blood bag,and blood transfusion was stopped when the blood was used out.And the whole process was controlled within 3 hours.Results Patients' total bilirubin was (312.2 ± 13.2) μmol/L after the treatment,lower than (521.3 ± 14.2) μmol/L before the treatment,indirect bilirubin was (263.6 ± 12.3) μmol/L after the treatment,lower than (466.5 ± 13.8) μmol/L before the treatment,and direct bilirubin was (12.1 ±8.4) μmol/L after the treatment,lower than (44.2 ± 7.0) μmol/L before the treatment.All differences were statistically significant (t ＝3.32,4.28,4.06,respectively; P ＜ 0.05).And patients' vital signs and serum electrolytes indictor were not statistically different before and after the treatment (P ＞ 0.05).Conclusions The method of automatic synchronous exchange transfusion through peripheral arteries and veins has preferable clinical effect,and systematical nursing before,during and after exchange transfusion should be paid more attention to. Key words: Nursing; Hyperbilirubinemia,newborn ; Automatic synchronous exchange transfusion; Peripheral arteries and veins