[摘要] 目的:提高对母乳性黄疸的认识,以期早期诊断和治疗。方法:192例确诊为母乳性黄疸,新生儿血清总胆红素<256 μmol/L为轻度黄疸35例,血清总胆红素256～342 μmol/L为中度黄疸 114例。本组患儿轻、中度黄疸均不改变母乳喂养的频率及数量,间断给予轻度黄疸以光疗治疗,胆红素浓度过高者同时给予血浆或白蛋白辅助治疗。血清总胆红素>342 μmol/L为重度黄疸43例,给予间断光疗。结果:164例(80.2%)患儿在3 d内血清胆红素降至原来水平的50%。结论:母乳性黄疸可导致高胆红素血症,及时干预可加速黄疸消退,其预后良好。

    [关键词] 黄疸;新生儿;母乳喂养

    [中图分类号] R722.17 [文献标识码]A [文章编号]1674-4721(2010)03(c)-031-02

    Clinical analysis of 192 breast milk jaunceice

    LI Na

    (Wuhan Medic Health Center Women and Children,Wuhan 430010, China)

    [Abstract] Objective: To improve the understanding of breast milk jaunclice,so as to make early diagnosis and treatment. Methods: 192 cases diagnosed as breast milk jaundice neonatal serum total bilirubin who less than 256 μmol/L for 35 patients with mild jaundice, serum total bilirubin 256-342 μmol/L for the 114 patients with moderate jaundice. The patients with mild to moderate jaundice not change the frequency and quantity of breast-feeding, intermittent therapy for mild jaundice to light treatment, high bilirubin concentrations in plasma or albumin were also given adjuvant therapy. Serum total bilirubin who more than 342 μmol/L was severe jaundice in 43 cases, giving intermittent light therapy. Results: 164 examples(80.2%)were fallen to originally horizontal 50%. Conclusion: Breast milk jaunclice can lead to hyperbilirubinemia,so interfere it on time will get a good pregnosis. ......