高胆红素血症, 新生儿, 临床特征, 预后," /> 高胆红素血症, 新生儿, 临床特征, 预后,"/> Hyperbilirubinemia,  Newborns, Clinical characteristics, Prognosis,"/> <span style="line-height:2;font-size:14px;">新生儿高胆红素血症的临床特征及预后</span>
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发育医学电子杂志  2018, Vol. 6 Issue (3): 182-185    DOI: 10.3969/j.issn.2095-5340.2018.03.010
  发育基础   临床经验交流 |新生儿 |
新生儿高胆红素血症的临床特征及预后
张继珍
北京市西城区妇幼保健院 儿科,北京 100054
Clinical characteristics and prognosis of neonatal hyperbilirubinemia
Zhang Ji-zhen
Department of Pediatrics, Maternal and Child Health Care Hospital, Xicheng District, Beijing, Beijing 100054, China
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摘要 【摘要】 目的 探讨新生儿高胆红素血症患儿的临床特征及预后。 方法 2015 年 4 月至 2016 年9 月,在北京市西城区妇幼保健院新生儿科住院的患儿中,共有高胆红素血症 120 例。分析患儿的基本情况、原发疾病、治疗及转归情况。 结果 120 例高胆红素血症患儿中,足月儿 85 例(70.8%,85/120),早产儿 30 例(25.0%,30/120),过期产儿 5 例(4.2%,5/120)。发病日龄﹤ 7 天者 69 例(57.5%,69/120),≥ 7 天者 51 例(42.5%,51/120)。非感染因素占 64.2%(77/120),感染因素占 32.5%(39/120),病因不明者占 3.3%(4/120)。发病日龄﹤ 7 天患儿的原发疾病比例依次为:感染、围产期窒息、母乳性黄疸、ABO 血型不合溶血症;发病日龄≥ 7 天患儿的原发疾病比例依次为:母乳性黄疸、感染、围产期窒息。治愈 114 例(95.0%,114/120),好转 6 例(5.0%,6/120),无 1 例换血或胆红素脑病发生。 结论 多种因素可引起新生儿高胆红素血症,治疗过程中应具体分析,预防胆红素脑病的发生。
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关键词:  高胆红素血症')" href="#">高胆红素血症  新生儿  临床特征  预后    
Abstract: 

【Abstract】 Objective To investigate the clinical characteristics and prognosis of neonates with hyperbilirubinemia. Methods From April 2015 to September 2016, 120 newborns with hyperbilirubinemia were admitted to neonatology department of Maternal and Child Health Care Hospital, Xicheng District, Beijing. The basic situation, primary diseases, treatment and outcomes were analyzed. Results A total of 85 cases (70.8%, 85/120) were full-term infants. Thirty cases (25%, 30/120) were preterm infants. Five cases (4.2%, 5/120) were post-term infants. The onset date of 69 cases (57.5%, 69/120) was less than seven days after birth, and that of the other 51 cases (42.5%, 51/120) was equal or more than seven days. Non infection factors accounted for 64.2% (77/120), infection factors accounted for 32.5% (39/120), and unknown etiology accounted for 3.3% (4/120). The proportion of primary diseases in cases aged ﹤ 7 days was as follows: infection, perinatal asphyxia, breast milk jaundice and ABO blood group incompatible hemolysis. The proportion of primary diseases in cases aged ≥ 7 days was: breast milk jaundice, infection and perinatal asphyxia. 114 cases (95%, 114/120) were cured, 6 cases improved (5%, 6/120). None suffered blood transfusion or bilirubin encephalopathy. 

Conclusions  Neonatal hyperbilirubinemia is caused by many factors. The treatment should be analyzed individually to prevent the occurrence of bilirubin encephalopathy.

Key words:  Hyperbilirubinemia')" href="#">Hyperbilirubinemia     Newborns    Clinical characteristics    Prognosis
收稿日期:  2017-08-07                出版日期:  2018-07-30      发布日期:  2018-08-21      期的出版日期:  2018-07-30
通讯作者:  张继珍http://www.cnkang.com/yyk/docindex/357797/    E-mail:  1584105336@qq.com
引用本文:    
张继珍. 新生儿高胆红素血症的临床特征及预后[J]. 发育医学电子杂志, 2018, 6(3): 182-185.
Zhang Ji-zhen. Clinical characteristics and prognosis of neonatal hyperbilirubinemia. Journal of Developmental Medicine(Electronic Version), 2018, 6(3): 182-185.
链接本文:  
http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2018.03.010  或          http://www.fyyxzz.com/CN/Y2018/V6/I3/182
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[1] GAO Xiao-hui, MAO Jian. Clinical features of non-oliguric hyperkalemia in extremely low birth weight infants[J]. Journal of Developmental Medicine(Electronic Version), 0, (): 152 .
[2] Society of Neonatologist, Chinese Medical Doctor Association. Consensus recommendations on the prevention and early management of respiratory distress syndrome in preterm infants[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 129 -131 .
[3] Professional Committee of Respiratory, Society of Neonatologist, Chinese Medical Doctor Association. Clinical application recommendations for heated humidified high flow nasal cannula[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 132 -135 .
[4] YAN Jun, ZHU Xing-wang, SHI Yuan. Application progress of noninvasive ventilate technique for premature infants[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 136 -140 .
[5] GU Min-fang, YANG Chuan-zhong. Progress of intrapartum resuscitation for premature infants[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 141 -145 .
[6] LIU Shu-hua, SHEN Yue-bo, LIU Cui-qing, MA Li. The efficacy of pulmonary surfactant for pulmonary function in premature tension pneumothorax[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 146 -151 .
[7] GAO Xiao-hui, MAO Jian. Clinical features of non-oliguric hyperkalemia in extremely low birth weight infants[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 152 -158 .
[8] XIA Yao-fang, YANG Juan , TIAN Bao-li, et al. Value of amplitude-integrated electroencephalography in monitoring acute period of neonatal bilirubin encephalopathy and prognostic assessment[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 159 -163 .
[9] WANG Li-rong, SUN Xiao-yan, ZHU Ruo-xin, et al. Epidemiological investigation and analysis of women aged 40-55 years old with osteoporosis in Gansu province[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 164 -167 .
[10] CHEN Ru-yue, SHEN Yun-yan, CHEN Qing , et al. Five cases about Henoch-Schönlein purpura complicated with central nervous system injury in children and literatures review[J]. Journal of Developmental Medicine(Electronic Version), 2017, 5(3): 168 -171 .
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