CAJ | 학술논문

目的：探讨分析新生儿高胆红素血症的常见原因，以提高其病因诊治水平，减少漏诊率、误诊率、致残率及致死率。方法选取我院2011年2月-2013年3月收治的符合高胆红素血症的新生儿195例，对各种常见病因进行回顾性分析。结果新生儿高胆红素血症由多种原因引起，其主要常见原因为：感染52例（26.7%）、围产期因素44例（22.6%）、ABO溶血病33例（16.9%）、葡萄糖-6-磷酸脱氢酶(G6-PD)缺乏23例（11.8%）、地中海贫血20例（10.3%）、母乳性黄疸18例（9.2%）、原因不明5例（2.6%）。结论新生儿高胆红素血症病因多且复杂，应加强对新生儿高胆红素血症的病因诊断，做到早预防，早诊断，早治疗，尽可能减少新生儿高胆红素血症的发生。
목적：탐토분석신생인고담홍소혈증적상견원인，이제고기병인진치수평，감소루진솔、오진솔、치잔솔급치사솔。방법선취아원2011년2월-2013년3월수치적부합고담홍소혈증적신생인195례，대각충상견병인진행회고성분석。결과신생인고담홍소혈증유다충원인인기，기주요상견원인위：감염52례（26.7%）、위산기인소44례（22.6%）、ABO용혈병33례（16.9%）、포도당-6-린산탈경매(G6-PD)결핍23례（11.8%）、지중해빈혈20례（10.3%）、모유성황달18례（9.2%）、원인불명5례（2.6%）。결론신생인고담홍소혈증병인다차복잡，응가강대신생인고담홍소혈증적병인진단，주도조예방，조진단，조치료，진가능감소신생인고담홍소혈증적발생。
Objective To investigate the common causes of neonatal hyperbilirubinemia,to improve its diagnosis and treatment level,to reduce the rate of missed diagnosis,misdiagnosis rate,disability rateand death rate.Methods The selection in our hospital from 2011February -2013 year in March admitted 195 cases ofhyperbilirubinemia of newborn,on a variety of common causes were analyzed retrospectively. Results neonatal hyperbilirubinemiacaused by many reasons,the main reason is:the common infection in 52 cases (26.7%),perinatal factors in 44 cases (22.6%),ABO hemolytic disease in 33 cases (16.9%),glucose-6-phosphate dehydrogenase (G6-PD) deficiency in 23 cases (11.8%),20 cases of thalassemia (10.3%),breast milk jaundice in 18 cases (9.2%),5 cases with unknown causes (2.6%).Conclusion The causes of neonatal hyperbilirubinemia and complex,should strengthen the etiological diagnosis of neonatal hyperbilirubinemia,early prevention,early diagnosis,early treatment,as far as possible,reduce the incidence of neonatal hyperbilirubinemia.