肾上腺血肿引起的新生儿危险性高胆红素血症1例报道  

A case report of sever hyperbilirubinemia caused by neonatal adrenal hematoma

作　　者：陈佳[1] 余静[1] 管利荣[1] 薛丹[1] CHEN Jia;YU Jing;GUAN Li-rong;XUE Dan(Department of Neoantal, Mianyang Central Hospital, Mianyang, Sichuan 621000, China)

机构地区：[1]四川省绵阳市中心医院新生儿科,四川绵阳621000

出　　处：《热带医学杂志》2018年第6期773-775,共3页Journal of Tropical Medicine

摘　　要：目的探讨新生儿肾上腺血肿(NAH)的临床特征、治疗方案及疾病转归。方法回顾性分析1例以危险性高胆红素血症为主要表现的新生儿肾上腺血肿的治疗及随访经过。结果巨大儿经阴道分娩,产道挤压及严重感染可能是导致本例肾上腺血肿的原因之一。肾上腺血肿可引起新生儿出生后早期重度高胆红素血症及胆红素脑病。结论新生儿生后早期高胆红素血症,尤其是巨大儿且有产伤、窒息、感染等高危因素的患儿需常规腹部B超检查。Objective To investigate the clinical manifestation,therapeutic regimen and prognosis of neonatal adrenal hematoma（NAH）.Methods A case of sever hyperbilirubinemia caused by adrenal hematoma was analyzed retrospectively.Results Macrosomia,vaginal delivery and sever infection may be the cause of neonatal adrenal hematoma.It can cause sever neonatal hyperbilirubinemia and bilirubin encephalopathy in the first few days after birth.Conlusion In newborns with severe hyperbilirubinemia,especially those have risk factors such as macrosomia,birth injury,asphyxia and sever infection,abdominal ultrasound is needed to detect aderenal hematoma.

关 键 词：新生儿 肾上腺血肿 高胆红素血症 

分 类 号：R586[医药卫生—内分泌]