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目的分析婴儿高未结合胆红素血症病因及有效干预措施。方法对90例婴儿高未结合胆红素血症的病因进行回顾性分析。结果其中母乳性黄疸38例(42.2%),占据首位;其次是感染因素36例(39.7%),先天性心脏病13例(14.4%),先天性甲状腺功能低下3例(3.3%),所有病例均合并不同程度胆汁淤积。结论对黄疸持续不退婴儿,应重视病因分析,防止误诊误治,结合病因治疗,提高治疗效果,及早干预,降低脑损伤发生的风险。
Objective To analyze the etiology and effective intervention of high unbound bilirubin in infants. Methods Retrospective analysis was made on the etiology of 90 cases of infants with un-combined hyperbilirubinemia. Results Among them, 38 cases (42.2%) had breast milk jaundice, accounting for the first place; followed by 36 cases (39.7%) of infection, 13 cases of congenital heart disease (13.4%) and 3 cases of congenital hypothyroidism (3.3% Cases were combined with varying degrees of cholestasis. Conclusions For infant with persistent jaundice, etiological analysis should be emphasized to prevent misdiagnosis and mistreatment, combined with etiological treatment to improve the therapeutic effect and early intervention to reduce the risk of brain injury.