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目的探讨新生儿高胆红素血症的发病原因及治疗方法。方法回顾性分析316例新生儿高胆红素血症的临床资料。结果新生儿高胆红素血症的病因依次为:围产因素137例(43.4%),感染因素89例(28.1%),新生儿溶血病47例(14.9%),原因不明43例(13.6%)。治愈292例,占92.4%,好转24例,占7.6%。结论新生儿高胆红素血症病因多种,加强围产期保健,早期发现、早期干预可减少高胆红素血症的发生率;采用以蓝光治疗为主的综合治疗方法疗效显著,可有效预防胆红素脑病的发生。
Objective To investigate the etiology and treatment of neonatal hyperbilirubinemia. Methods A retrospective analysis of 316 cases of neonatal hyperbilirubinemia clinical data. Results The causes of neonatal hyperbilirubinemia were as follows: 137 cases (43.4%) of perinatal factors, 89 cases (28.1%) of infection factors, 47 cases of neonatal hemolytic disease (14.9%), 43 cases of unknown cause %). 292 cases were cured, accounting for 92.4%, improved in 24 cases, accounting for 7.6%. Conclusions There are many causes of neonatal hyperbilirubinemia, which can enhance perinatal health care. Early detection and early intervention can reduce the incidence of hyperbilirubinemia. The comprehensive treatment with blue light therapy is significant, Effective prevention of bilirubin encephalopathy.