小婴儿病理性黄疸77例分析

Analysis of 77 Infants' Pathological Jaundice

目的:为探讨引起小婴儿的病理性黄疸发病相关因素,以指导治疗和诊断,避免误诊。方法:小婴儿的黄疸77例进行分析。结果:其中母乳性黄疸61例(占79.2%),巨细胞病毒感染5例(占6.4%),婴儿肝炎综合症者3例(占3.8%)。先天性甲状腺功能低下1例(占1.2%),乙型肝炎1例(1.2%),其他疾病6例(占7.8%)。结论:认为新生儿后期的黄疸,虽然主要是母乳性黄疸,但其他一些疾病也可引起黄疸,要注意鉴别,避免误诊和漏诊。

Objective：The article Approach correlative factor which cause infants＇ pathologic jaundice,in order to guide treatment and diagnosis and avoid misdiagnosis.Methods：We analyzed 77 cases of infants＇ jaundice which we handled from 2009.3 to 2009.9.Result：61 cases of breast-feeding jaundice（79.2%）,5 cases of cytomegalovirus infection （6.4%）,3 cases of neonatal hepatitis syndrome （3.8%）,1 case of congenital hypothyroidism （1.2%）,1 case of hepatitis B （1.2%）,6 cases of other diseases （7.8%）.Conclusion：The kinds of neonatal jaundice mainly were breast-feeding jaundice,but it come into being of other diseases.we must identify the differernts in order to avoid misdiagnosis and missed diagnosis.