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新生儿高胆红素血症260例临床分析
引用本文:吴家敏,黄国华,乔晓红.新生儿高胆红素血症260例临床分析[J].同济大学学报(医学版),2007,28(1):64-66.
作者姓名:吴家敏  黄国华  乔晓红
作者单位:同济大学附属同济医院儿科,上海,200065
摘    要:目的探讨新生儿高胆红素血症的病因构成,为其防治提供依据。方法回顾性分析260例新生儿高胆红素血症患儿的临床资料。结果母乳性黄疸91例(35%),感染65例(25%),ABO溶血55例(21.2%),围产因素29例(11.2%),混合因素11例(4.1%),不明原因9例(3.5%)。结论合理进行母乳喂养,加强围产期保健,减少孕期、产时及产后感染的发生,进行产前血型鉴定是减少新生儿高胆红素血症的关键。

关 键 词:高胆红素血症  新生儿  母乳性黄疸
文章编号:1008-0392(2007)01-0064-03
收稿时间:2006-09-05
修稿时间:2006-09-05

Clinical analysis of hyperbilirubinemia in 260 neonates
WU Jia-min,HUANG Guo-hu,QIAO Xiao-hong.Clinical analysis of hyperbilirubinemia in 260 neonates[J].Journal of Tongji University(Medical Science),2007,28(1):64-66.
Authors:WU Jia-min  HUANG Guo-hu  QIAO Xiao-hong
Institution:Dept. of Pediatrics, Tongji Hospital, Tongji Universiw, Shanghai 200065, China
Abstract:Objective To discuss the pathogenic causes of hyperbilirubinemia,and provide basis for prevention and cure.Methods Clinical data of 260 cases of hyperbilirubinemia were analyzed retrospectively.Results Ninety-one patients were breast milk jaundice(35.0%).Sixty-nine patients were infections.Fifty-five patients were hemolytic diseases of ABO.Twenty-nine patients were perinatal agents.Eleven patients were mixture agents.There was no definite reasons in 9 patients.Conclusion Rational breast feeding,strengthening health care of perinatal period,reducing complications of pregnancy,intrapartum and postpartum,appraising blood types in pregnancy are the key to lessen neonatal hyperbilirubinemia.
Keywords:hyperbilirubinemia  neonate  breast milk jaundice
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