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目的对新生儿出现病理性黄疸的原因以及临床的诊治方法进行分析。方法回顾2010年1月至2012年1月在本单位出生的92例患有病理性黄疸的新生儿临床资料,并对其进行归纳总结。结果在92例患有病理性黄疸的新生儿中由于围产期因素引起的患儿有40例(43.48%),由新生儿溶血引起的病例有32例(34.78%),由感染引起病例有16例(17.39%),其他因数引起的患儿有4例(4.35%)。所有患儿经光照并结合药物治疗,治愈的患儿共有72例,好转的有16例,总有效率达95.65%。结论重视围产期的健康教育,提倡优生优育是预防新生儿出现病理性黄疸的有效措施,新生儿出生后应加强胆红素的监测,对新生儿出现的病理性黄疸应尽早发现,并对其采取有效的治疗方法。
Objective To analyze the causes of neonatal pathological jaundice and its clinical diagnosis and treatment. Methods The clinical data of 92 newborns with pathological jaundice who were born in this unit from January 2010 to January 2012 were retrospectively reviewed and summarized. Results In 92 neonates with pathological jaundice, 40 cases (43.48%) were caused by perinatal factors, 32 cases (34.78%) were caused by neonatal hemolysis, and the cases were caused by infection 16 cases (17.39%), other factors in children with 4 cases (4.35%). All children with light and combined with drug treatment, a total of 72 cases of children cured, improved in 16 cases, the total effective rate was 95.65%. Conclusions Emphasis on perinatal health education, promotion of prenatal and postnatal care is an effective measure to prevent pathological jaundice in newborns. Newborns should be monitored for bilirubin after birth, and pathological jaundice should be detected as soon as possible in neonates. It takes an effective treatment.