新生儿黄疸迁延不退病因探讨

Etiological Study of Persistent Neonatal Jaundice

目的探讨足月新生儿黄疸迁延不退的发生率、病因和诊断。方法总结黄疸持续2周以上的新生儿和婴儿临床资料,提出诊治要点。结果 114例中血清总胆红素(TB)均值204.123μmol/L,病因以原因不明、母乳性黄疸为主。结论黄疸迁延至2周以上者,考虑是病理性黄疸,也需要治疗。

Objective To explore the incidence,etiology and diagnosis of persistent jaundice in the full-term newborns.Methods To summarize the clinical data of newborns and infants whose jaundice lasted for 2 weeks or more,and to propose the diagnosis and treatment points.Results The mean serum total bilirubin（TB） of 114 cases was 204.123 μmol/L,the unexplained causes and breast milk jaundice were the mainly etiology.Conclusion The full-term neonatal jaundice prolongs for 2 weeks or more,that is considered pathologic jaundice,and also needs to be treated.