新生儿黄疸的治疗常遇到一些矛盾,如胆红素升高的利与弊,过度治疗与延误治疗,用药的适应证及药物的选择,光疗的适应证与禁忌证、光疗的利与弊、光疗标准的掌握,换血疗法的作用与风险、换血标准的掌握、换血方法的选择等。现结合当前国内外新生儿黄疸干预指南(方案)和有关文献对上述矛盾展开讨论,并提出对策,指出既要遵循指南(方案),但对待少数特殊情况也要具体情况具体分析,灵活处理。 Treatment of neonatal jaundice often encounter some contradictions, such as the pros and cons of elevated bilirubin, over-treatment and delayed treatment, medication indications and drug selection, indications and contraindications for phototherapy, the advantages and disadvantages of phototherapy , Mastery of light therapy standards, the role and risk of blood exchange therapy, exchange of blood control standards, the choice of exchange methods. Nowadays, the above contradictions are discussed and the countermeasures are put forward based on the current domestic and international guidelines for neonatal jaundice interventions (programs) and relevant literature, pointing out that it is necessary to follow the guidelines (program), but also to deal with a few special cases should be specific analysis and flexible treatment.