Hervei S, Malik T, Rötfalusy M
Biol Neonate. 1976;29(5-6):323-32. doi: 10.1159/000240882.
The changes of acid-base values of 60 mature and premature neonates treated by exchange transfusion were followed. It could be shown that the blood conserves having acidic pH values caused no acidosis if the acid-base balance of the patients had been normal before transfusion. An existing acidosis frequently increased significantly in the first day of life of the mature but also in the later days in premature neonates. Thus, the determination of acid-base state prior and after transfusion of such patients seems to be important. In the case of pronounced acidosis its correction and also the control of the acid-base values after the exchange transfusion are necessary.
对60例接受换血治疗的足月和早产新生儿的酸碱值变化进行了跟踪。结果表明，如果患者在输血前酸碱平衡正常，那么pH值呈酸性的库存血不会导致酸中毒。对于足月儿，现有的酸中毒在出生后第一天往往会显著加重，而对于早产儿，在出生后的较晚阶段也会如此。因此，测定此类患者输血前后的酸碱状态似乎很重要。对于明显的酸中毒，需要进行纠正，并在换血后控制酸碱值。
