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核黄疸对新生儿的生命和健康威胁很大,且预后严重,病死率很高,即使幸免死亡,也常留有神经系统严重后遗症。近年来积极采用药物疗法、光疗和换血等措施进行防治,已取得可喜成绩。我院用换血疗法治疗新生儿核黄疸22例疗效甚佳,现分析如下: 一、病例选择标准: 1.生后早期(多为1周内)发生严重黄疸,血清胆红素在20毫克％以上,主要为间接胆红素。 2.临床上有轻度神经系统症状。二、治疗方法: 1.全部病例入院确诊后进行换血(约于入院后4～9小时内换入血,换血/前静脉注入
Nuclear jaundice poses a great threat to the life and health of the newborn, and its prognosis is serious with a high case fatality rate. Even if it survives the death, it often leaves serious sequelae of the nervous system. In recent years, active use of drug therapy, phototherapy and exchange of blood and other measures to prevent and control, has made gratifying achievements. Our hospital with transfusion therapy for the treatment of neonatal kernicterus 22 cases are very good, are analyzed as follows: First, the case selection criteria: 1. Early after birth (mostly within 1 week) severe jaundice, serum bilirubin 20 mg% Above, mainly indirect bilirubin. 2. Clinical mild neurological symptoms. Second, the treatment: 1. All patients admitted to hospital after diagnosis of transfusions (about 4 to 9 hours after admission into the blood, exchange transfusion / anterior venous injection