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HK J Paediatr (New Series)
Vol 1. No. 2,
1996
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HK J Paediatr (New Series) 1996;1:219
Proceedings of Clinical Meeting
Synchronized Exchange Transfusion (SET) for Neonatal Septicemia
KZ Chen, JP Lai KZ Chen, JP Lai Guangzhou Children's Hospital, Guangzhou
| HK J Paediatr (new series) 1996;1:207-220 The First Joint Scientific Meeting of Hong Kong College of Paediatricians and Guangdong Pediatric Society of the Chinese Medical Association
May 25, 1996 | According to the exchange score standard we reported, 11 cases of neonatal septicemia which is 4-7 points were treated with SET - peripheral vein for infusion and radial for removal. After SET, the score value, clinical manifestation, indexes of blood and biochemistry were obviously improved. All of the cases recovered. This article recommended the exchange score standard of septicemia and technique of SET, the calculation of effective exchange transfusion rate and final hemoglobin volume. For neonatal septicemia, we believe that: (1) It is importance to select the exchange case according to score standard. (2) SET is better than central line - via umbilical - vein catheter. (3) Double - volume exchange is better than single - volume. (4) within exchange, the physiologic monitors (temperature, respiratory, heart rates and SaO2) must be taken. | Table Exchange score standard for neonatal septicemia | | Item | Score | | 0 | 1 | 2 | | systemic symptom* | no | general | insufficiency | | blood pH | >7.25 | 7.16-7.25 | <=7.15 | | (A-a) DO2 (kPa) | <13.5 | 13.6-33.4 | >=33.15 | | range of scleredema (%) | <60 | 61-79 | >=80 | | *different system, the score is calculated separately. |
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