新生儿黄疸诊治 ppt课件.pptVIP

建议： 每个黄疸的患儿均应随访－－Adequate follow-up should be ensured for all infants who are jaundiced . 加强光疗的患儿应完善相关检查，以了解黄疸病因－－Infants requiring intensive phototherapy should be investigated for determination of the cause of jaundice. ? CONCLUSION 严重的高胆红素血症的有发生急性胆红素脑病及慢性后遗症的可能． 对高危因素进行评估，辅查，在有指征时光疗及换血是避免这些并发症发生的要点． 　　　　 　　　　Severe hyperbilirubinemia in relatively healthy term or late preterm newborns (greater than 35 weeks　gestation) continues to carry the potential for complications from acute bilirubin encephalopathy and chronic sequelae. Careful assessment of the risk factors involved, a systematic approach to the detection and follow-up of jaundice with the appropriate laboratory investigations, along with judicious phototherapy and exchange transfusion when indicated, are all essential to avoid these complications. Thank you! * 新生儿黄疸诊治 yaoyue28@ Paediatrics Child Health 1999;4(2):161-164Reference No. FN98-02 Revision in progress May 2007 Paediatrics Child Health 2007;12(5): 1B-12BReference No. FN07-02 Guidelines for detection, management and prevention of hyperbilirubinemia in term and late preterm newborn infants 参考文献 Hyperbilirubinemia is very common and usually benign in the term newborn infant and the late preterm infant at 35 to 36 completed weeks. Critical hyperbilirubinemia is uncommon but has the potential for causing long-term neurological impairment. Early discharge of the healthy newborn infant, particularly those in whom breastfeeding may not be fully established, may be associated with delayed diagnosis of significant hyperbilirubinemia. 高胆红素血症很常见，多为良性。危险的高胆红素血症并不常见，但是有潜在的导致长期神经损害的可能。 胆红素水平与胆红素脑病发生 It is estimated that 60% of term newborns develop jaundice and 2% reach a TSB concentration greater than 340 μmol/L(19.8mg/dl). Acute encephalopathy does not occur in full-term infants whose peak TSB concentration remains below 340 μmol/L and is very rare unless the peak TSB concentration exceeds