早产儿高胆红素血症的诊疗进展

doi:10.11852/zgetbjzz2017-25-09-14

中国儿童保健杂志 ›› 2017, Vol. 25 ›› Issue (9): 910-909.DOI: 10.11852/zgetbjzz2017-25-09-14

早产儿高胆红素血症的诊疗进展

黄佳^1,2,吴运芹²,高喜容²

1 南华大学儿科学院,湖南长沙 410007;
2 湖南省儿童医院,湖南长沙 410007

收稿日期:2017-02-26 发布日期:2017-09-10 出版日期:2017-09-10
通讯作者: 高喜容,E-mail:gaoxirong@126.com
作者简介:黄佳(1993-),女,湖南人,硕士在读,主要研究方向为儿科学新生儿方向

Progress in diagnosis and treatment of hyperbilirubinemia in premature infants

HUANG Jia^1,2,WU Yun-qin²,GAO Xi-rong²

1 College of Pediatrics,University of South China,Changsha,Hunan 410007,China;
2 Hunan Children's Hospital,Changsha,Hunan 410007,China

Received:2017-02-26 Online:2017-09-10 Published:2017-09-10
Contact: GAO Xi-rong,E-mail:gaoxirong@126.com

摘要/Abstract

摘要： 早产儿出生时胎儿红细胞数比例高,早期大量胎儿红细胞破坏,胆红素来源增加,肝脏功能不成熟,其摄取、结合、排泄胆红素功能差,易出现高胆红素血症。对于胎龄≥35周的新生儿,已有相应的光疗曲线及小时胆红素列线图作为诊断或干预标准,而胎龄<35周的早产儿尚缺乏公认的干预指南。本文就早产儿高胆红素血症的最新诊断和治疗进展进行综述。

关键词: 早产儿, 高胆红素血症, 胆红素脑病

Abstract: Preterm born with a high proportion of fetal red blood cells would have,a large number of early fetal red blood cell damaged,and increased bilirubin source.Moreover preterms liver function is immature.And its poor intake,utitization and excretion of bilirubin dysfunction,makes preterms prone to hyperbilirubinemia.For neonates with gestational age over 35 weeks,the corresponding phototherapy curve and the hourly bilirubin line chart have been used as diagnostic or intervention criteria.However preterm infants with gestational age less than 35 weeks still lack an accepted intervention guideline.This article reviews the latest diagnosis and treatment of hyperbilirubinemia in premature infants.

Key words: premature infant, hyperbilirubinemia, bilirubin encephalopathy

中图分类号:

R179

黄佳,吴运芹,高喜容. 早产儿高胆红素血症的诊疗进展[J]. 中国儿童保健杂志, 2017, 25(9): 910-909.

HUANG Jia,WU Yun-qin,GAO Xi-rong. Progress in diagnosis and treatment of hyperbilirubinemia in premature infants[J]. journal1, 2017, 25(9): 910-909.

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早产儿高胆红素血症的诊疗进展

Progress in diagnosis and treatment of hyperbilirubinemia in premature infants

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