中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
6期
70-70,72
,共2页
新生儿病理性黄疸%病因%治疗
新生兒病理性黃疸%病因%治療
신생인병이성황달%병인%치료
Pathological jaundice of newborn%Etiology%Treatment
目的：探讨新生儿病理性黄疸的病因及诊治措施。方法：2012年6月-2014年6月收治新生儿病理性黄疸患者98例，对新生儿病理性黄疸病因和诊治措施进行分析和总结。结果：本组98例患儿因围生期因素所引发的新生儿病理性黄疸31例(31.63%)，母乳因素26例(26.53%)，感染因素24例(24.49%)，溶血12例(12.24%)，其他因素5例(5.10%)。以间接胆红素升高为主的病理性黄疸74例，治疗有效率94.59%；以直接胆红素升高为主24例，治疗有效率79.17%；共治愈59例，好转30例，总有效率90.82%。结论：引发新生儿病理性黄疸的病因主要有围生期因素、母乳因素、感染因素、新生儿溶血和其他因素，应在积极治疗原发病的基础上给予针对性及对症支持治疗，同时应加强早期观察，防止发生胆红素脑病。
目的：探討新生兒病理性黃疸的病因及診治措施。方法：2012年6月-2014年6月收治新生兒病理性黃疸患者98例，對新生兒病理性黃疸病因和診治措施進行分析和總結。結果：本組98例患兒因圍生期因素所引髮的新生兒病理性黃疸31例(31.63%)，母乳因素26例(26.53%)，感染因素24例(24.49%)，溶血12例(12.24%)，其他因素5例(5.10%)。以間接膽紅素升高為主的病理性黃疸74例，治療有效率94.59%；以直接膽紅素升高為主24例，治療有效率79.17%；共治愈59例，好轉30例，總有效率90.82%。結論：引髮新生兒病理性黃疸的病因主要有圍生期因素、母乳因素、感染因素、新生兒溶血和其他因素，應在積極治療原髮病的基礎上給予針對性及對癥支持治療，同時應加彊早期觀察，防止髮生膽紅素腦病。
목적：탐토신생인병이성황달적병인급진치조시。방법：2012년6월-2014년6월수치신생인병이성황달환자98례，대신생인병이성황달병인화진치조시진행분석화총결。결과：본조98례환인인위생기인소소인발적신생인병이성황달31례(31.63%)，모유인소26례(26.53%)，감염인소24례(24.49%)，용혈12례(12.24%)，기타인소5례(5.10%)。이간접담홍소승고위주적병이성황달74례，치료유효솔94.59%；이직접담홍소승고위주24례，치료유효솔79.17%；공치유59례，호전30례，총유효솔90.82%。결론：인발신생인병이성황달적병인주요유위생기인소、모유인소、감염인소、신생인용혈화기타인소，응재적겁치료원발병적기출상급여침대성급대증지지치료，동시응가강조기관찰，방지발생담홍소뇌병。
Objective:To investigate the etiology of neonatal pathological jaundice and its diagnosis and treatment measures. Methods:100 cases of neonatal pathological jaundice were selected from June 2012 to June 2014,then we analyzed and summarized their etiology and treatment in patients with pathologic jaundice.Results:Among those 98 cases of neonatal pathological jaundice,there were 31 cases caused by perinatal factors(31.63% ),26 cases caused by breast factors(26.53% ),24 cases caused by infection factor(24.49%),12 cases caused by hemolysis(12.24%),while 5 cases with other factors(5.10%).There were 74 cases of pathologic jaundice caused by increased indirect bilirubin,and the treatment effective rate was 94.59%;24 cases caused by increased direct bilirubin,and the treatment effective rate was 79.17%.59 cases were cured;30 cases were improved;the total efficiency was 90.82% .Conclusion:The mainly causes of neonatal pathological jaundice including perinatal factors,breast factors,infection factors,hemolytic disease of newborn and other factors.It should be given symptomatic and supportive treatment based on the active treatment of primary disease,and also should be strengthened the early observation at the same time,in order to prevent the occurrence of brain bilirubin encephalopathy.
