APPROACHING ON
EVALUATING THE ETIOLOGY AND CLINICAL FEATURES OF NEONATAL
HYPERBILIRUBINEMIA
Zhao XP1, Li QL2
12 Shanxi Provincial
Children's Hospital, Taiyuan, China
Objective: To
evaluate the etiology and clinical features of neonatal hyperbilirubinemia
and the risk factors of kernicterus.
Method: 340
cases were divided into 5 groups according to their causes including
perinatal risk factors, infection, breast feeding factor, hemolytic disease
and unknown factor. The degree of jaundice, the changes of serum bilirubin
concentration before and after treatment, periods and prognosis of 5 groups
were compared respectively. The incidence of kernicterus of 5 groups were
analysized according to their gestational age and day age.
Results: The
incident rate of neonatal hyperbilirubinemia was 31.76% in group with
perinatal factor, 25.29% in group with infection, 16.18% in group with
breast feeding, 11.19% in group with hemolytic disease and 11.18% in group
with unknown factors, respectively.
Conclusions:
It is the key of preventing and treating neonatal hyperbilirubinemia to
prevent dystocia, asphyxia and prematury by strengthening maternal and
perinatal healthy care and finding out the causes of jaundice earlier.