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目的探讨新生儿病理性黄疸诊断的方法、病因与治疗的效果分析。方法在我院2008年1月至2009年12月收治的病理性黄疸新生儿患者76例,对患儿的临床资料进行回顾性分析。结果患儿病理性黄疸的发生原因属于围产因素的24例,原因包括缺氧、窒息、脑颅血肿、低血糖、早产、红细胞增多、胎膜早破等;发生因素为感染的20例,原因包括脐带炎、肺炎、败血症、尿布皮炎、肝炎、脓疱疮等;母乳性黄疸9例;围产结合感染因素患儿16例;不明原因的黄疸患儿为7例。患儿中痊愈15例(19.74%)、好转54例(71.05%)、无效7例(9.21%)、总有效率为90.79%。结论新生儿病理性黄疸发病急、持续时间长,应当及时进行诊断并采取针对性治疗,能够采取较好的临床效果。
Objective To explore the diagnosis of neonatal pathological jaundice, etiology and treatment effect analysis. Methods A total of 76 neonates with pathological jaundice admitted to our hospital from January 2008 to December 2009 were retrospectively analyzed. Results The causes of pathological jaundice in children were 24 cases of perinatal factors, including hypoxia, asphyxia, cerebral hematoma, hypoglycemia, premature labor, erythrocytosis, premature rupture of membranes and so on; the incidence of infection in 20 cases, Causes include umbilical cord inflammation, pneumonia, sepsis, diaper dermatitis, hepatitis, impetigo and so on; breast milk jaundice in 9 cases; perinatal infection in children with 16 cases; jaundice in children with unexplained 7 cases. Among the children, 15 cases recovered (19.74%), 54 cases improved (71.05%), 7 cases (9.21%) failed and the total effective rate was 90.79%. Conclusion The incidence of neonatal pathological jaundice is urgent and lasts for a long time. It should be promptly diagnosed and treated with specific measures, which can take good clinical effects.