Analysis on the blood indexes of exchange transfusion in neonates with hyperbilirubinemia

Objective:To explore the influence of blood exchange transfusion on blood parameters in neonates with hyperbilirubinemia.Methods:Thirty-two hyperbilirubinemia neonates were accepted to do exchange transfusion by peripheral artery and vein synchronously, the serum biochemical parameters, blood routine indexes, and arterial blood gas analysis were detected before and after exchange transfusion.Results:After exchange transfusion, the serum total bilirubin and indirect bilirubin levels were significantly lower than before(P<0.01);white blood cells and platelets levels were decreased(P<0.01);red blood cells and hemoglobin levels had no statistically significant differences(P>0.05);blood sugar level was elevated significantly(P<0.01);blood potassium, sodium, chloride, calcium concentrations, pH and base excess change had no statistical differences(P>0.05).Conclusions:Serum bilirubin level was decreased significantly after exchange transfusion in hyperbilirubinemia neonates, but blood indexes such as white blood cells, platelets, blood sugar also had changed, so it is need to detect biochemical parameters and blood routine indexes in order to prevent the happening of electrolyte disorder and hemorrhage, infection.