摘要
大多数新生儿可出现黄疸,大部分新生儿黄疸均较轻微,但由于胆红素毒性,严重高胆红素血症可导致胆红素脑病或核黄疸。为减少严重胆红素血症及胆红素脑症或核黄疸的发生,避免医疗资源的浪费,2004年8月美国儿科学会制定了新的新生儿黄疸诊疗指南。该指南强调了成功母乳喂养、黄疸出现时间、黄疸高危因素评估、严密随访和适时干预的重要性,制定了黄疸干预的流程图,提出了一些新的观点,值得我们借鉴。
Jaundice can occur in most neonates. Most jaundice is benign, but beacuse of the potential toxicity of bilirubin, newborn infants with .severe hyperbilirubinemia can develop acute bilirubin encephalopathy or kernicterus. In October 2004, American academic of pediatrics produced the latest guideline for newborn jaundice aim to reduce the incidence of acute bilirubin encephalopathy or kernicterus and avoid unnecessary costs or treatment. The latest guideline emphasizes the important of successful breast feeding, time of jaundice developed, assessment for the risk of .severe hyperbilirubinemia, close follow up, and prompt intervention when indicated, provide a framework for the prevention and management of hyperbilirubinemia in newborn infants of 35 or more weeks of gestation. Some new view in the latest guideline may be helpful to us.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2006年第14期958-960,共3页
Journal of Applied Clinical Pediatrics
关键词
婴儿
新生
黄疸
指南
美国儿科学会
infant, newborn
jaundice
guideline
American academic of pediatrics
