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目的探讨高胆红素血症的病因及防治方法。方法将180例新生儿高胆红素血症的发病因素进行归纳总结。结果发病原因依次为围产因素、母乳因素、感染因素、溶血因素及其他因素,早期蓝光光疗、肝酶诱导剂使用,可明显减少高胆红素血症的发生及其并发症。结论病因及原发病的治疗至关重要,消除高危因素是降低高胆红素血症的关键,对有高危因素的新生儿应提早实施光疗。
Objective To explore the etiology and prevention and treatment of hyperbilirubinemia. Methods The incidence of 180 cases of neonatal hyperbilirubinemia were summarized. Results The causes of onset were perinatal factors, breast-milk factors, infection factors, hemolysis factors and other factors, and early blue phototherapy and liver enzyme inducer could significantly reduce the incidence of hyperbilirubinemia and its complications. Conclusions The etiology and the treatment of primary disease are of crucial importance. Elimination of high risk factors is the key to reducing hyperbilirubinemia, and phototherapy should be implemented for newborns with high risk factors.