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目的了解胆红素脑病的病因及后遗症的发生情况,重视胆红素脑病的早期诊断、早期干预。方法43例胆红素脑病患儿进行病因、辅助检查、治疗、转归及随访结果进行分析研究。结果胆红素脑病的病因主要为感染占46.5%(23/43),出血占34.9%(15/43)和溶血占18.6%(8/43),后遗症的发生率为40.6%。结论应早期就诊,针对病因综合积极治疗,可减少智力落后、脑瘫等后遗症的发生。
Objective To understand the etiopathogenisis of bilirubin encephalopathy and the occurrence of sequelae, pay attention to the early diagnosis and early intervention of bilirubin encephalopathy. Methods 43 cases of bilirubin encephalopathy in children with etiology, laboratory examinations, treatment, outcome and follow-up results were analyzed. Results The main causes of bilirubin encephalopathy were infection 46.5% (23/43), hemorrhage 34.9% (15/43), hemolysis 18.6% (8/43) and sequelae 40.6%. Conclusion Early treatment, active treatment for the cause of integrated, can reduce mental retardation, cerebral palsy and other sequelae.