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目的探讨黄疸消退延迟的因素及治疗措施。方法回顾分析新乡市直机关医院2007年12月—2009年12月诊治260例黄疸消退延迟(病理性黄疸)患儿的临床资料。结果本组260例患儿经治疗,血清胆红素恢复正常230例,疾病痊愈25例;好转5例。结论新生儿胆红素生成较多,肝细胞对胆红素的摄入能力不足,肝细胞微粒体中形成结合胆红素的功能缺陷,胆红素排泄缺陷,肠肝循环等特点,使新生儿胆红素代谢为肝脏胆红素负荷大和肝脏清除胆红素能力差,因此新生儿易出现黄疸。针对病因进行治疗是全愈的关键。
Objective To investigate the factors that delay the regression of jaundice and the treatment measures. Methods The clinical data of 260 children with delayed jaundice (pathological jaundice) were retrospectively analyzed from December 2007 to December 2009 in the hospital of Xinxiang City. Results The group of 260 children treated, serum bilirubin returned to normal in 230 cases, the disease recovered in 25 cases; improved in 5 cases. Conclusion neonatal bilirubin more hepatocytes to bilirubin intake capacity deficiencies in the formation of hepatic microsomal bilirubin functional defects, bilirubin excretion defects, enterohepatic circulation and other characteristics of the newborn Bilirubin metabolism of liver bilirubin load and bilirubin removal of the liver poor, so neonatal jaundice. The cure for the cause is the key to all healing.