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本文对482创新生儿高间接胆红素血症患儿进行病因及黄疸监测情况分析。围产因素占病因之首位(35.7%),新生儿溶血病占第二位,原因不明与母乳性黄疸较前增加,感染因素降至第5位。围产因素和溶血所致高胆出现黄疸早,后者重度黄疸比例多。母乳性黄疸出现黄疸较晚,病程长。感染所致高胆多属早期感染,胆红素下降幅度快,病程短,与治疗及时和感染程度经有关。本文重点分析原因不明组临床特点,认为可能包括部分生理性黄疸儿。
In this paper, 482 neonates with indirect hyperbilirubinemia in children etiology and jaundice monitoring analysis. Perinatal factors accounted for the first place (35.7%), newborn hemolytic disease accounted for the second, unexplained and breast milk jaundice increased earlier, the infection factor dropped to 5. Perinatal factors and hemolysis caused by high bile jaundice early, the latter a high proportion of severe jaundice. Jaundice occurs in breast milk later, longer duration. High gall bladder infection caused by early infection, bilirubin decline faster, shorter duration, and the timely treatment and the degree of infection by the relevant. This article focuses on analysis of the clinical features of unknown group, that may include some physiological jaundice.