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目的探讨新生儿黄疸的病因、诊断及治疗效果。方法回顾性分析2006年9月至2010年3月收治的162例新生儿黄疸患儿的临床资料。结果发病日龄以<7 d居多;病因以溶血性黄疸占首位,之后依次为葡萄糖-6-磷酸脱氢酶(G-6PD)缺陷、感染因素、母乳性、围产期等;治愈率为92.0%,无胆红素脑病等严重并发症发生。结论明确新生儿黄疸的病因,早期诊断和治疗,有助于降低患儿的致残率和病死率,并改善预后。
Objective To investigate the etiology, diagnosis and treatment of neonatal jaundice. Methods The clinical data of 162 neonates with jaundice admitted from September 2006 to March 2010 were retrospectively analyzed. Results The age of onset was mostly less than 7 days. The cause of hemolytic jaundice was the highest, followed by the defects of glucose-6-phosphate dehydrogenase (G-6PD), infection, breast milk and perinatal period. The cure rate was 92.0%, no serious complications such as bilirubin encephalopathy. Conclusion The etiology, early diagnosis and treatment of neonatal jaundice are clear. It can help to reduce the morbidity and mortality of children and improve the prognosis.