母乳性黄疸72例临床分析

目的: 提高对母乳性黄疸的认识,以期早诊断和治疗。方法: 72例确诊为母乳性黄疸新生儿血清总胆红素>221 μmol/L者70例,其中总胆红素>342 μmol/L者22例,在光疗及茵栀黄、思密达中西医结合退黄治疗的基础上,暂停母乳48~72 h。总胆红素221~342 μmol/L者48例,在光疗的基础上加用中西医结合退黄治疗,继续母乳喂养。结果: 58例(80.6%)患儿在3天内血清胆红素水平降至原来水平的50%。结论: 母乳性黄疸可导致高胆红素血症,及时干预可加速黄疸消退,预后良好。

Clinical analysis of 72 breast milk jaundice

Objective: To improve the understanding of breast milk jaunclice(BMJ) so as to make early diagnosis and treatment.Methods: Seventy-two confirmed BMJ neonates were observed and analyzed.The total bilirubin of seventy cases was greater than 221 μmol/L.The 22 cases whose total bilirubin was greater than 342 μmol/L were treated,on the basis of phototherapy,with Yinzhihuang,smecta and combined traditional Chinese and Western medicine to retreat yellowy, and breast-feed was suspended for 48- 72 hours.The other 48 cases whose total bilirubin were between 221 to 342 μmol/L were received the same therapy but continued to be breast-fed.Results: The serum bilirubin levels of 58(80.6)infants dropped to 50 of the original levels within 3 days.Conclusions: BMJ can cause high bilirubin blood disease.Timely Intervention can accelerate the disappearance of jaundice and the prognosis is good.