
新生兒(er)黃(huang)疸
新生兒黃疸概述:是(shi)膽(dan)紅(hong)素(su)(大部分未為結合(he)膽(dan)紅(hong)素(su))在(zai)體內積聚而(er)引起(qi),其原因(yin)復雜(za),有生(sheng)(sheng)理(li)性(xing)和病理(li)性(xing)之分,部分病理(li)性(xing)黃疸(dan)克致中樞神經系統受(shou)損,產(chan)生(sheng)(sheng)膽(dan)紅(hong)素(su)腦病,故應加強對新生(sheng)(sheng)兒黃疸(dan)的臨床(chuang)觀察(cha),盡快找出(chu)原因(yin),及(ji)時治療。生(sheng)(sheng)理(li)性(xing)黃疸(dan)是(shi)新生(sheng)(sheng)兒出(chu)生(sheng)(sheng)24小時后(hou)血清膽(dan)紅(hong)素(su)由出(chu)生(sheng)(sheng)時的17~51μmol/L(1~3mg/dl)逐(zhu)步上(shang)(shang)升到86μmol/L(5mg/dl)或以上(shang)(shang)臨床(chuang)上(shang)(shang)出(chu)現黃疸(dan)而(er)無其它癥狀,1~2周內消(xiao)退(tui)。生(sheng)(sheng)理(li)性(xing)黃疸(dan)的血清膽(dan)紅(hong)互(hu)足(zu)月兒不(bu)超(chao)過204μmol/L(12mg/dl)不(bu)超(chao)過255μmol/L(15mg/dl)。
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