重度新生儿高胆红素血症非换血疗法临床应用  

Clinical Application of Non Substitution Transfusion on Severe Hyperbilirubinemia in Newborn

作　　者：麻莉[1] 陈诚[1] 周翔[1] 张旭光[1] 王强[1] 吕深 黄从付[1] 何旭[1] 卢仕仰 

机构地区：[1]广东省深圳市龙岗区妇幼保健院新生儿科,518172

出　　处：《中华全科医学》2008年第12期1268-1269,共2页Chinese Journal of General Practice

摘　　要：目的探讨光照疗法(简称光疗)治疗早期新生儿重度高胆红素血症的效果。方法采用蓝光照射、静脉注射用丙球蛋白等非换血疗法治疗45例血总胆红素>432μmol/L的重度高胆红素血症新生儿。结果43例治疗痊愈,占95.6%;1例因肺出血死亡,1例自动出院。治愈的43例患儿经随访复查,均未发现有后遗症。结论光疗治疗早期新生儿重度高胆红素血症疗效显著,可作为非换血疗法和基层医院首选方法。Objective To explore the therapeutic effect of phototherapy on severe hyperbilirubinemia in newborns. Methods 45 severe hyperbilirubinemia newborns（ total serum bilirubin 〉432 μmol/L） were treated with blue ray and the intravenous injection of r-globulin instead of substitution transfusion. The results were analyzed. Results 43 newborns were cured, accounted for 95.6% ; 1 newborn was dead for pneumorrhagia ; 1 newborn was discharged without complete healing. No sequela was found in 43 sanative newborns by the follow-up. Conclusions Phototherapy is effective for sever hyperbilirubinemia newborns at early stage and thus it is the therapeutics of choice.

关 键 词：非换血疗法 重度高胆红素血症 光照疗法 

分 类 号：R722.17[医药卫生—儿科]