新生儿高胆红素血症的临床分析

目的探讨新生儿高胆红素血症的病因及治疗方法,为临床早诊断早治疗提供参考依据。方法回顾性分析我院于2009年1月至2010年6月收治的高胆红素血症患儿的临床资料。结果新生儿高胆红素血症病因复杂,包括围产因素（33.3%）、感染因素（23.8%）、母乳性黄疸（17.5%）、非感染因素（11.1%）、其它原因不明者（9.5%）、ABO溶血病（4.8%）。治疗前血清总胆红素水平为（298±45）μmol/L,治疗后为（228±60）μmol/L,治疗前后血清总胆红素水平有显著性差异（P〈0.01）。结论加强对新生儿高胆红素血症的病因诊断,做到早预防、早诊断、早治疗,尽可能减少新生儿高胆红素血症。

Clinical Analysis of Hyperbrilirubinemia in Neonates

Objective To investigate the causes,treatment and interferences of hyperbilirubinemia in neonates.Methods The clinical data of 126 patients were analyzed retrospectively.Results The causes included perinatal agent（33.3%）,infection （23.8%）,breast milk jaundice （17.5%）,non-infection（11.1%）,no reason （9.5%）,ABO homolysis （4.8%）.The level of serum total bilirubin before treatment were （298±45）μmol/L which is different with the level after treatment （228±60）μmol/L（P0.05）.Conclusion Rational breast milk jaundice,reduction in perinatal infection,early diagnosis,and early interference are important for hyperbrilirubinemia in neonates.