美国儿科学会的最新新生儿黄疸诊疗指南_李秋平.pdfVIP

实用儿科临床杂志 第 21 卷第 14 期 2006 年 7 月 J Appl Clin Pediatr, Vol . 21 No. 14 Jul. 2006 # 958 # #诊断标准#治疗方案# 美国儿科学会最新新生儿黄疸诊疗指南 李秋平, 封志纯 ( 南方医科大学珠江医院 儿科, 广州 510282) The Latest Guideline for Neonatal Jaundice Produced by American Academic of Pediatrics LI Qiu- ping , FENG Zhi- chun ( Department of Pediatrics, Zhujiang Hospital of Southern Medical University, Guangzhou 510282, China) Abstract: Jaundice can occur in most neonates. Most jaundice is benign, but beacuse of the potential toxicity of bilirubin, newborn infants with severe hyperbilirubinemia can develop acute bilirubin encephalopathy or kernicterus. In October 2004, American academic of pediatrics pro- duced the latest guideline for newborn jaundice aim to reduce the incidence of acute bilirubin encephalopathy or kernicterus and avoid unnecessary costs or treatment. The latest guideline emphasizes the important of successful breastfeeding, time of jaundice developed, assessment for the risk of severe hyperbilirubinemia, close follow- up, and prompt intervention when indicated, provide a framework for the prevention and management of hyperbilirubinemia in newborn infants of 35 or more weeks of gestation. Some new view in the latest guideline may be helpful to us. J Appl Clin Pediatr, 2006, 21( 14) : 958- 960 Key words: infant, newborn; jaundice; guideline; American academic of pediatrics [ 摘要] 大多数新生儿可出现黄疸, 大部分新生儿黄疸均较轻微, 但由于胆红素毒性, 严重高胆红素 血症可导致胆 红素脑病 或核黄疸。为减少严重胆红素血症及胆红素脑症或核黄疸的发生,