对86例早产儿（胎龄32．8±2．49周，出生体重2041±383g）高间接胆红素血症病因及治疗等进行了探讨。病因中以感染最多，占51．1％，提示对早产儿感染性疾病的早期发现，早期治疗是预防高胆红素血症和核黄疸的主要措施。早产儿高胆的治疗，按是否接受兰光照射而分两组，光疗组疗效显著。作者认为，对早产儿高胆的诊断标准应重新修正，入光疗标准应放宽，特别是有某些危险因素存在时。 86 cases of premature infants (gestational age 32.8 ± 2.49 weeks, birth weight 2041 ± 383g) high indirect bilirubin etiology and treatment were discussed. The most common cause of infection, accounting for 51.1%, suggesting early detection of infectious diseases in premature infants, early treatment is the main measure to prevent hyperbilirubinemia and nuclear jaundice. Treated with high-gallbladder preterm children, according to whether to accept blue light irradiation and divided into two groups, light therapy group significant effect. The authors believe that the diagnostic criteria for high bile in preterm children should be re-amended, into the standard light therapy should be relaxed, especially in the presence of certain risk factors.