一例早产新生儿极重度高胆红素血症案例分析
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v7i6.17059
Abstract
本文报道1例早产新生儿极重度高胆红素血症（总胆红素481 μmol/L）的诊疗过程。36周5天早产患儿因“发现皮肤黄染4天”来诊，经皮测胆红素为412μmol/l，经光疗退黄，碱化血液，补充肠道益生菌改善肠道微生态，减少肝肠循环辅助退黄，补充维生素K1预防新生儿出血，适量补液，加强喂养，人血白蛋白结合非结合胆红素促进其代谢并积极预防核黄疸发生等治疗后，胆红素降至152μmol/L。经上述治疗后，近期未发现明显并发症，随访显示胆红素逐步下降至正常范围，注意远期随访。本案例揭示了早产儿并发重度高胆红素血症的几率较高，需高度重视，加强新生儿访视的管理。
Keywords
早产儿；极重度高胆红素血症；新生儿访视
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