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【目的】分析新生儿高胆红素血症的病因,为临床诊疗提供参考。【方法】对2009年1月-2012年2月本院收住院治疗的193例新生儿高胆红素血症资料进行进行回顾性分析。【结果】193例黄疸的发生因素依次为:围生期因素(28.0%),母乳性黄疸(16.6%),新生儿溶血病(15.0%),新生儿感染因素(14.5%),母孕期胎儿肝脏损伤(11.4%),先天因素以及其它因素等(14.5%)。治疗主要有蓝光照射,输用白蛋白;祛除病因如换血治疗,抗感染,母乳性黄疸暂停母乳等以及各种辅助治疗。193例新生儿高胆红素血症中,治愈和好转184例。【结论】导致新生儿高胆红素血症病因多样,围生期因素、母乳性黄疸、新生儿溶血病是最常见因素,应引起临床医生重视。
【Objective】 To analyze the etiology of neonatal hyperbilirubinemia and provide reference for clinical diagnosis and treatment. 【Methods】 193 cases of neonatal hyperbilirubinemia treated in our hospital from January 2009 to February 2012 were retrospectively analyzed. 【Results】 The incidence of jaundice in 193 cases were: perinatal (28.0%), breast milk jaundice (16.6%), neonatal hemolytic disease (15.0%), neonatal infection (14.5% Liver injury (11.4%), congenital factors and other factors (14.5%). The main treatment of blue light, lose albumin; eliminate the cause, such as transfusion therapy, anti-infective, breast milk, breast milk, etc. suspended as well as a variety of adjuvant therapy. 193 cases of neonatal hyperbilirubinemia, cured and improved in 184 cases. 【Conclusions】 The causes of neonatal hyperbilirubinemia are various. Perinatal factors, breast milk jaundice and neonatal hemolytic disease are the most common factors that should be paid more attention by clinicians.