新生儿黄疸探因（The cause of jaundice in the newborn）.docVIP

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新生儿黄疸探因（The cause of jaundice in the newborn）.doc

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新生儿黄疸探因（The cause of jaundice in the newborn）

新生儿黄疸探因（The cause of jaundice in the newborn） Jaundice of the newborn Neonatal jaundice (neonatal, jaundice) is the most common symptom of the newborn, and its occurrence is related to race, region, gestational age and feeding methods. If the Oriental is higher than the westerners, the south of our country is higher than the north, and the premature babies are more than the full-term babies. Breast feeding is more than manual feeding. Adult serum bilirubin exceeds 34 Mu mol / L (2mgdl) appear icteric, and because the blood capillary of the newborn is rich, must exceed 85 mu molL (5mgdl) just show icteric. Shanghai First Maternal and Infant Health-Care Hospital, 550 newborns were born in the hospital, two people were observed by visual observation and discharged to hospital, and the results showed that 90% had different degrees of jaundice (table 1321). If more than 103 mol / L (6mgdl), the pathological jaundice should be excluded. The serum bilirubin of full-term neonates exceeds 308~342 mu molL (18 ~ 20mgdl), and preterm infants can be as low as 137~205 molL (8 ~ 12mgdl), which is bilirubin encephalopathy. In order to improve clinical vigilance on serum bilirubin of 205 mol / L (12mgdl) as hyperbilirubinemia is necessary, time is premature and low birth weight after birth and short jaundice should be relaxed. In fact, physiological and pathological jaundice is relative, can not rely on human serum bilirubin values to distinguish between the two literally. Individual physiological jaundice can harm caused by high bilirubin to a certain extent; some mild pathological jaundice may also All is well. for bilirubin is not high, so clinical attention should be paid to the average time and the degree of progress, combined with other disease (syndrome) with comprehensive analysis, because the nature of jaundice can be transformed. The differential diagnosis of the normal metabolism of bilirubin and jaundice, see Chapter 2 of hepatobiliary disease. The characteristics of neo