新生儿高胆红素血症260例临床分析

Clinical analysis of hyperbilirubinemia in 260 neonates

目的探讨新生儿高胆红素血症的病因构成,为其防治提供依据。方法回顾性分析260例新生儿高胆红素血症患儿的临床资料。结果母乳性黄疸91例(35%),感染65例(25%),ABO溶血55例(21.2%),围产因素29例(11.2%),混合因素11例(4.1%),不明原因9例(3.5%)。结论合理进行母乳喂养,加强围产期保健,减少孕期、产时及产后感染的发生,进行产前血型鉴定是减少新生儿高胆红素血症的关键。

Objective To discuss the pathogenic causes of hyperbilirubinemia, and provide basis for prevention and cure. Methods Clinical data of 260 cases of hyperbilirubinemia were analyzed retrospectively. Results Ninety-one patients were breast milk jaundice （35.0 % ）. Sixty-nine patients were infections. Fifty-five patients were hemolytic diseases of ABO. Twenty-nine patients were perinatal agents. Eleven patients were mixture agents. There was no definite reasons in 9 patients. Conclusion Rational breast feeding, strengthening health care of perinatal period, reducing complications of pregnancy, intrapartunl and postpartum, appraising blood types in pregnancy are the key to lessen neonatal hyperbilirubinemia.