357例新生儿高胆红素血症发病相关因素探讨

Disease-Related Factor Analysis of Neonatal Hyperbilirubinemia in 357 Cases

目的：探讨新生儿高胆红素血症发病相关因素。方法：对３５７例新生儿高胆红素血症发病因素进行分析。结果：３５７例新生儿高胆占同期住院新生儿的５４．２％。轻度黄疸３６．４％，中度４３．７％，重度１９．９％。病因前３位依次为围产因素（４２．０％）、感染（２２．７％）、母乳性黄疸（１８．２％），其次为原因不明（９．２％）、其它因素（７．９％）。本组预后较佳，无胆红素脑病发生。结论：对高胆红素血症的早期干预提出４点意见。

Objective: To inquire into the diseaserelated factors of neonatal hyperbilirubinemia. Method: Analysing 357 cases with neonatal hyperbilirubinemia. Results: 357 cases with neonatal hyperbilirubinemia accounted for 54.2% of the newborn babies who were hospitalized at the same period. Of these cases,mild,moderate and severe jaundices were 36.4%,43.7%and 19.9% respectively. The causes of the disease included perinatal factors(42.0%),infection factors (22.70%), breast milk jaundice(18.2%)and other unknown factors(7.9%). The studied cases in this paper showed a good prognosis without kernicterus. Conclusion: Four sugestions which involves Kernicterus. Conclusion: the early treatment of hyperbilirubinemia were given out.