婴儿和2周后足月新生儿黄疸迁延不退的病因分析及预防措施

摘要

Objective: To explore the etiology and prevention measures of infant and full-term neonatal jaundice in 2 weeks after rebate.Methods: the clinical data from 2012 June to 2014 June in our hospital 120 cases of obstetric was born more than 2 week full-term neonates and infants were reviewed retrospectively, the results of treatment and etiology were analyzed and summarized, and put forward the prevention measures.Results: 120 cases of total bilirubin (TB) of 83 ~ 379 mol/L, the average (206.7 + 57.4) mol/L, including 45 cases of 15 ~ 29d in infants with persistent jaundice not retreat for the average (221.5 + 59.6) mol/L, 65 cases of 29d in children with persistent jaundice > no refund for the average (196.3 + bilirubin 61.5) mol/L.120 cases of jaundice in children with persistent non refundable cured 102 cases (85%), improved in 18 cases (15%), all of the patients were of good prognosis.Liver function is normal in children was the main cause of unexplained breast milk jaundice 74 cases, 31 cases, 5 cases of jaundice infection, birth trauma (the big brain hematoma in 2 cases).Conclusion: neonatal jaundice defer not to retreat to more than 2 weeks, doubt is the pathological jaundice, need to take symptomatic treatment.%目的：探讨婴儿和2周后足月新生儿黄疸迁延不退的病因及预防措施。方法选取2012年6月～2014年6月在我院产科出生的120例超过2周足月新生儿及婴儿的临床资料进行回顾性研究，对治疗结果及病因进行分析总结，并提出预防措施。结果120例患儿总胆红素（TB）83～379μmol/L，平均（206.7±57.4）μmol/L，其中45例15～29d黄疸迁延不退患儿胆红素平均值为（221.5±59.6）μmol/L，65例>29d黄疸迁延不退患儿胆红素平均值为（196.3±61.5）μmol/L。120例黄疸迁延不退患儿治愈102例（85.0%），好转18例（15.0%），所有患儿均预后良好。肝功能正常患儿病因主要为原因不明74例，母乳性黄疸31例，感染性黄疸5例，产伤（巨大头颅血肿）2例。结论新生儿黄疸迁延不退至2周以上，可怀疑是病理性黄疸，需要采取对症治疗。