Fok T F, So L Y, Leung K W, Wong W, Feng C S, Tsang S S
Department of Paediatrics, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin.
Arch Dis Child. 1990 Jul;65(7 Spec No):676-8. doi: 10.1136/adc.65.7_spec_no.676.
During a five and a half year period, exchange transfusions were performed through the peripheral vessels in 201 of the 214 infants (94%) who required either double volume or partial plasma exchange transfusions. Peripheral vessel exchange transfusion is simple, practicable, and safe with few complications. Technical difficulties in catheterizing the peripheral artery and vein may be overcome by using a 24 gauge catheter, which causes no more catheter induced haemolysis than standard umbilical catheters.
在五年半的时间里,214名需要进行双倍容量或部分血浆置换输血的婴儿中有201名(94%)通过外周血管进行了换血治疗。外周血管换血简单、可行且安全,并发症少。使用24号导管可以克服外周动静脉置管的技术困难,其引起的导管相关溶血并不比标准脐导管更多。