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本文观察30例经脐血血清学诊断为新生儿ABO溶血病后胆红素动态变化。22例出现高胆,8例黄疸呈生理性经过。高胆出现于生后24、48、72小时各为8例、11例、3例。作者认为,生后24小时发生高胆由多种因素所致,与脐血胆红素值、于血症、改良直接抗人球蛋白试验关系较大。生后24、48小时的胆红素值达到102.6μmol/L、153.9μmol/L可做为早期预防性光疗标准,能减少或避免重度黄疸的发生。
This article observed 30 cases of umbilical cord serum serological diagnosis of neonatal ABO hemolytic disease after bilirubin dynamic changes. Twenty-two cases showed hypercholesteremia and eight cases showed jaundice after physiological. Gall appeared in 24, 48, 72 hours after birth for each of 8 cases, 11 cases, 3 cases. The author believes that 24 hours after birth, high cholesterol caused by a variety of factors, and umbilical cord blood bilirubin, in the blood, improved direct anti-human globulin test greater. 24,48 hours after birth, the bilirubin value reached 102.6μmol / L, 153.9μmol / L can be used as early preventive phototherapy standards, can reduce or avoid the occurrence of severe jaundice.