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首页> 外文期刊>Journal of paediatrics and child health >Is it safe to co-infuse dextrose-containing fluids with red blood cells?
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Is it safe to co-infuse dextrose-containing fluids with red blood cells?

机译:将含葡萄糖的液体与红细胞同时注入是否安全?

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摘要

A 6-week-old female infant, born at 24 weeks gestation, has a haemoglobin level of 74 g/L and a low reticulocyte count. She is currently on nasal continuous positive airway pressure in 0.4 FiO2 and is tolerating full enteral feeds via a nasogastric tube. The Neonatologist has made the decision that the infant requires a packed red blood cell (PRBC) transfusion to manage her anaemia of prematurity. Current transfusion guidelines advise against the addition of electrolyte and colloid solutions as well as medications, except for 0.9% saline, morphine, pethi-dine and/or ketamine, to PRBC transfusions.1 The current unit protocol also requires the infant to be fasted prior to, during and after transfusion due to the theoretical risk of transfusion-associated necrotising enterocoliris.2 As a consequence, the infant will require two separate peripheral venous access points - one for dextrose-containing fluids and the other for the PRBC transfusion. Unfortunately, intravenous access is proving difficult and only one access point has been gained.
机译:妊娠24周时出生的6周大女婴血红蛋白水平为74 g / L,网织红细胞计数低。她目前的鼻腔呼吸道持续正压为0.4 FiO2,并且可以通过鼻胃管接受全肠道喂养。新生儿科医生已决定婴儿需要输注大量红细胞(PRBC)来治疗早产儿贫血。当前的输血指南建议不要在PRBC输血中添加电解质和胶体溶液以及药物(0.9%的生理盐水,吗啡,哌替丁和/或氯胺酮除外)。1当前的单位操作规程还要求婴儿事先禁食由于输血相关的坏死性小肠结肠炎的理论风险,输注过程中,输注期间,输注过程中和输注后都是如此。2因此,婴儿将需要两个单独的外周静脉接入点-一个用于含葡萄糖的液体,另一个用于PRBC输血。不幸的是,静脉通路被证明是困难的,并且仅获得了一个接入点。

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