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目的:寻找本地区新生儿高胆红素血症(高胆)的主要原因,为临床高胆的病因诊断及治疗提供参考。方法:对213例住院新生儿高胆红素血症患儿进行病因分析,对未愈病例进行疗效分析。结果:本地区高胆红素血症病因以感染性黄疸居首位,其后依次为ABO溶血,母乳性黄疽,窒息并HIE,头颅血肿,部分患儿病因不明。治愈205例,未愈8例,其中1例死亡。结论:加强宣教,使人们对高胆红素血症有足够认识,早发现和治疗,避免发生胆红素脑病,积极防治感染可以降低新生儿高胆红素血症的发生率;加强围产期保健,减少产科因素所致的高胆红素血症;加强对新生儿高胆红素血症的病因诊断。
Objective: To find out the main causes of neonatal hyperbilirubinemia (hypercholesterolemia) in this area and provide a reference for the diagnosis and treatment of clinical etiology. Methods: Etiological analysis of 213 hospitalized neonates with hyperbilirubinaemia was performed, and the curative effect of unhealed patients was analyzed. Results: The cause of hyperbilirubinemia in this area was the first with infectious jaundice, followed by ABO hemolysis, breast milk jaundice, asphyxia and HIE, head hematoma, and some children with unknown etiology. 205 cases were cured, 8 cases were unhealed, of which 1 case died. Conclusion: To strengthen the missionary education so that people have enough understanding of hyperbilirubinemia, early detection and treatment to prevent the occurrence of bilirubin encephalopathy, and active prevention and treatment of infection can reduce the incidence of neonatal hyperbilirubinemia; strengthen perinatal Period of health care, reduce obesity caused by obstetric factors; to strengthen the etiology of neonatal hyperbilirubinemia diagnosis.