Exchange Transfusion Using Percutaneous Femoral Vein Catheterization in Neonates: Comparison with Umbilical Vein Catheterization |
Song-Ja Kim, Hyang-Ok Woo, Seung-Hwan Kim, Mi-Ryeong Kim, Sun-Kyeong Sin, Hee-Shang Youn |
Department of Pediatrics, College of Medicine, Gyeong Sang National University, Jinju, Korea |
신생아에서 대퇴부정맥도관을 이용한 교환수혈 -제대정맥도관과 비교- |
김송자, 유향옥, 김승환, 김미령, 신선경, 윤희상 |
경상대학교 의과대학 소아과학교실 |
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Abstract |
Traditionally umbilical vein has been used for exchange transfusion in neonates. This method is relatively safe and effective but with a few complications.
So via percutaneous femoral vein catheters we tried exchange transfusion in 30 patients with neonatal hyperbilirubinemia admitted to GNUH from September 1990 to August 1992. Femoral vein catheterization succeeded in 2~3 trials. In all cases high bilirubin level was lowered by half at the end of exchange transfusion. Transient microscopic hematuria by bladder puncture occurred in one neonate.
Exchange transfusion via femoral vein catheter is a sage, easy and effective method. |
Key Words:
Neonatal Hyperblirubinemia, Exchange Transfusion, Percutaneous Femoral Vein Catheterization |
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