新生儿高胆红素血症210例病因分析

目的了解新生儿高胆红素血症的病因组成。方法对2010年1月至2013年2月收住院治疗的210例新生儿高胆红素血症资料进行回顾性分析。结果 210例黄疸的发生因素依次为:围生期因素(28.6%),母乳性黄疸(20.0%),新生儿感染因素(16.2%),新生儿溶血病30例(14.2%),母孕期胎儿肝脏损伤(11.4%),先天因素以及其他因素(9.6%)。冶疗主要有蓝光照射、输用白蛋白;袪除病因如换血冶疗、抗感染、母乳性黄疸暂停母乳等以及各种辅助冶疗。210例新生儿高胆红素血症中,治愈和好转196例。结论加强围生期保健,积极防治新生儿感染可以降低新生儿高胆红素血症的发生率。

Etiology Analysis on 210 Cases of Neonatal Hyperbilirubinemia

Objective To study the etiology of neonatal hyperbilirnbinemia. Method A total of 210 cases of neonatal hyperbilirnbinemia were analyzed in the HeJin Maternal and Child Health Hospital from January 2010 to February 2013 retrospectively. Results The etiological factors of neonatal hyperbilirnbinemia of 210 cases were：perinatal factors（28.6%）,breast milk jaundice（20.0%）,neonatal infection factors（16.2%）,hemolytic disease of the newborn（14.2%）, maternal fetal liver injury（11.4%）,congenital factors and other faetors（9.6%）.The main therapy methods were the blue light,albumin injection;dispel pathogeny including exchange transfusion therapy, anti-infection,suspend breast-feeding when breast milk jaundice,as well as various adjuvant treatment.In 210 cases of neonatal hyperbilirubinemia, in 196 cases were cured or improved diversified. Conclusion Strengthen perinatal care, active prevention and treatment of neonatal infection can reduce the incidence of neonatal hyperbilirnbinemia.