新生儿黄疸（英文）精选.pptVIP

Neonatal Jaundice Introduction All babies develop elevated serum bilirubin (SBR) levels, to a greater or lesser degree, in the first week of life. This is due to: increased production (accelerated RBC breakdown); decreased removal (liver enzyme insufficiency) Increased reabsorption (enterohepatic circulation). Introduction ~60% of infants become clinically jaundiced in 1st wk Bili levels peak at 3~5 days in full term infants ~1/6 of formula fed infants have bili levels over 12 ~1/3 of breast fed infants have bili levels over 12 Over 80% of all infants with bili levels12.9 mg