新生儿高胆红素血症的病因与防治探讨

本文报道我院１９９２￣１９９４年收治的新生儿高胆血症７８４例占同期住院９０９４例的８．６％，〈７日早发高胆占７２．１％，〉７日延迟黄疸占２７．９％，病因前五位依次为围产因素（３０．６％），溶血症（３６．３％），感杂（１８．４％），母乳黄疸（８．３％）及颅内出血（８．３％），预后差的７６例与原发病有关，入院后均未发生核黄疸。文章对高胆血症的防治提出早期诊断，及时光疗及换血，对病因的防治提出４点意见。

AN EXPLORATION OF THE ETIOLOGY, PREVENTION AND MANAAGEMENT IN NEONATAL HYPERBILIRUBINEMIA

784 cases of neonatal hyperbilirubinemia were admit ted to our nurserey through 1992 to 1994. They accounted for 8.6% of the neonatal patients 9094 hospitalized during the same period. There were 565 cases (72. 1%) of <7days called early hyperbilirubinemia and 219cases (27. 9% ) >7 days called late hy perbilirubinemia. The prepostion of the five etiology were perinatal causes, hemolytic diseases, infective diseases, breast milk jaundice and intra -cranial hemorrhage and they were 30. 6%, 26. 3%. 18.4%, 8.3% and 8.3% respectively.Besides there had been 24 cases of kernicterus during adimition and none of them after hospi talization. The article gives 4 improvement suggestions for early diagnosis and treatment would be the key of prevention and man agement of the hyperbilirubinemia.