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目的总结新疆维吾尔族(简称维族)新生儿黄疸胆红素上升的时间和峰值,提出早期干预维族高胆红素血症的指标。方法采用经皮测疸仪动态观察我院182例维族健康足月新生儿、56例维族足月低出生体重儿及87例维族足月巨大儿黄疸情况。结果维族健康足月新生儿黄疸峰值最高时间为生后第6天,经皮胆红素(TCB)值为(17.2±2.0)mg/dl,维族足月低体儿、巨大儿峰值最高时间为生后第4、5天,(TCB)值为(23.3±2.0)mg/dl和(20.3±2.0)mg/dl。结论维族健康足月新生儿黄疸出现的晚,黄疸高峰値比生理性黄疸峰值高,持续时间短,维族足月低体重儿、巨大儿黄疸出现早,峰值高,对光疗、肝酶诱导剂敏感,黄疸消退快。
Objective To summarize the time and peak of bilirubin rise in newborn jaundice in Xinjiang Uygur (Uygur), and put forward the index of early intervention on Uygur hyperbilirubinemia. Methods 182 cases of Uygur full-term newborn, 56 cases of Uygur full-term low birth weight children and 87 cases of Uygur full-term giant jaundice were observed by percutaneous jing meter. Results The highest peak time of jaundice in healthy Uygur was 6 days after birth, the value of transcutaneous bilirubin (TCB) was (17.2 ± 2.0) mg / dl, On days 4 and 5 after birth, the (TCB) values were (23.3 ± 2.0) mg / dl and (20.3 ± 2.0) mg / dl. Conclusion Uygur full-term neonatal jaundice appeared late, jaundice peak 生 higher than the physiological jaundice peak, duration is short, Uighur full-term low birth weight children, giant jaundice appear early, high peak, sensitive to phototherapy, liver enzyme inducer Jaundice subsided quickly.