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我科自1982年10月至1988年3月共收治新生儿高胆红素血症52例,对其中的38例进行了光照治疗,取得了较满意的疗效,现总结报告如下。临床资料病例选择标准:不论任何原因引起的足月新生儿血清胆红素>12mg/dl,早产儿>15mg/dl者(并以间接胆红素升高为主)共52例,其中足月儿47例,早产儿5例。男36例,女16例。其年龄小于7天者31例,7～14天16例,14～21天4例,21～28天1例。分为光疗组和药物治疗组。光疗组主要用蓝光;药物组用激素、白蛋白、酶诱导剂治疗,并对光疗组中的15例及药疗组中的14例,在治疗前及治疗后24、48、72小时各测胆红素值一次。
Our department from October 1982 to March 1988 were treated 52 cases of neonatal hyperbilirubinemia, of which 38 cases of light treatment, and achieved satisfactory results, are summarized as follows. Clinical data Case selection criteria: regardless of any cause of full-term neonatal serum bilirubin> 12mg / dl, preterm infants> 15mg / dl (and mainly indirect bilirubin) a total of 52 cases, of which full-term 47 cases of children, premature children in 5 cases. 36 males and 16 females. The age of less than 7 days in 31 cases, 7 to 14 days in 16 cases, 14 to 21 days in 4 cases, 21 to 28 days in 1 case. Divided into phototherapy group and drug treatment group. The phototherapy group mainly used blue light; the medication group was treated with hormone, albumin and enzyme inducer, and 15 cases in the phototherapy group and 14 cases in the medication group were measured before treatment and 24,48,72 hours after treatment Bilirubin value once.