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为了解本地区新生儿黄疸的常见病因,探讨不同病因的胆红素变化规律,对因黄疸入院的新生儿作了前瞻性调查。结果87例新生儿黄疸中,感染占59.4％,溶血25％,其它原因12.5％,生理性黄疸3.1％;同一病例可并发2～4种疾病,并发病发生率64.8％。弓形体、EB病毒(EBV)感染、败血症的血清总胆红素(BT)和结合胆红素(BD)水平较高;感染的BD/BT比值高于溶血、其它原因和生理性黄疸。
In order to understand the common etiopathogenisis of neonatal jaundice in our region, the change rule of bilirubin in different etiology was explored. A prospective investigation was made on newborns admitted to jaundice. Results 87 cases of neonatal jaundice, infection accounted for 59.4%, hemolysis 25%, 12.5% for other reasons, physiological jaundice 3.1%; the same case may be complicated by 2 to 4 diseases, and the incidence of 64.8%. Toxoplasma, Epstein-Barr virus (EBV) infection, serum total bilirubin (BT) and conjugated bilirubin (BD) levels were higher in sepsis; the BD / BT ratio of infection was higher than hemolysis, other causes and physiological jaundice.