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母乳性黄疽是新生儿黄疽中常见的一种,随母乳喂养的逐渐普及呈增多趋势.我院1992～1997年共收治73例母乳性黄疽:其中男47例,女26例;出生时孕周37～40周;纯母乳喂养67例,偶加牛奶6例;早发型44例,迟发型29例.其诊断标准为:①母乳喂养或以母乳喂养为主;②出生48小时开始出现黄疽;③血清胆红素浓度>205μmpol/L,以间接胆红素增高为主;④生长发育良好,体检无异常;⑤改人工喂养2～4天后黄疽消退,胆红素降低>50 %;⑥排除窒息、产伤、甲状腺功能低下、溶血性疾病、感染性疾病.
Breast milk jaundice is a common neonatal jaundice, with the gradual popularization of breastfeeding showed an increasing trend of our hospital from 1992 to 1997, a total of 73 cases of breast milk jaundice: 47 cases were male and 26 females; Week 37 to 40 weeks; exclusive breastfeeding 67 cases, even with milk in 6 cases; early onset in 44 cases, delayed type in 29. The diagnostic criteria are: ① breastfeeding or breastfeeding; ② 48 hours after birth began to appear yellow Gangrene; serum bilirubin concentration> 205μmpol / L, mainly to indirect bilirubin; ④ good growth and development, physical examination no abnormalities; ⑤ artificial feeding 2 to 4 days after the regression of jaundice, bilirubin decreased> 50% ; ⑥ exclude asphyxia, birth trauma, hypothyroidism, hemolytic disease, infectious diseases.