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新生儿病理性黄疸132例的病因分析及防治

[摘要]目的:探究提高对新生儿病理性黄疸的防治措施。方法:回顾性分析我院例新生儿病理性黄疸患儿的临床资料。结果:住院新生儿病理性黄疸的病因有围生期因素(59例,44.70%)、感染因素(36例,27.27%)、母乳因素(27例,20.45%)、溶血因素(4例,3.03%)、先天性因素(2例,1.52%)和不明因素(4例,3.03%)。经蓝光治疗、药物处理、抗感染、暂停喂乳、营养支持及纠正水-电解质及酸碱平衡失调等措施干预,治愈例(87.88%)、好转12例(9.09%)、转诊4例(3.03%)。结论:新生儿病理性黄疸的病因复杂,发病率高。进行围生期保健、合理喂乳、积极预防及早查明病因进行治疗干预能提高治愈率,而且患儿预后良好,可减少新生儿胆红素脑病及神经系统后遗症的发生率。

[关键词]:新生儿;病理性黄疸;病因;预防;治疗

AnalysisonEtiopathogenisisandDiscussiononPreventionandTreatmentofPathologicaljaundiceinnewborn

WangGang

(HealthCareHospitalforWomenChildrenofEzhouCity,Hubeiprovince,Ezhou,China)

[Abstract]Objective:Toanalysistheetiopathogenisisanddiscussiononpreventionandtreatmentofpathologicaljaundiceinnewbornsforraisecontrolefficiency.Methods:Retrospectiveanalysisnewbornswithpathologicaljaundicetreatedinourhospital.Results:Theetiopathogenisisofthenewbornswereperinatalfactors(59cases,44.70%),infectiousfactors(36cases,27.27%),factorscausedbybreastmilk(27cases,20.45%),hemolyticdiseasefactors(4cases,3.03%),inbornfactors(2cases,1.52%)andunknowncauses(4cases,3.03%).Treatmentmeasureshadlighttherapy,drugtreatment,anti-infection,stopbreastfeeding,nutritionsupport,correctingwater-electrolyteandacid-baseimbalance.Aftertreatment,casescured(87.88%),12casesimproved(9.09%),4casesweretranslatedtootherhospital(3.03%).Conclusion:Thecauseofpathologicaljaundiceofnewbornare







































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