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母乳喂养发生母乳性黄疸,尤其黄疸较重或迁延至1～2个月者,是停母乳还是继续母乳喂养,国内尚未见报道.现回顾总结门诊母乳性黄疸38例,观察在不同喂养方式下黄疸消退情况,供临床医生指导家长坚持母乳喂养时参考.1 资料和方法1.1 母乳黄痘诊断标准单纯性母乳喂养儿在生理性黄疸后延迟不退,血胆红素以间接胆红素为主的高胆红素血症,小儿发育营养状况良好,肝功能正常,无贫血及网状红细胞增高,肝脾不大,无任何感染,用排除法诊断母乳性黄疸.
Breastfeeding occurred in breast milk jaundice, especially jaundice heavier or prolonged to 1 to 2 months, stop breastfeeding or continue breastfeeding, has not been reported in China.There are 38 cases of out-patient breast milk jaundice observed in different feeding mode Jaundice subsided, for clinicians to instruct parents adhere to breastfeeding reference.1 Materials and Methods 1.1 Breastfeeding diagnostic criteria of pure breastfeeding children with physiological jaundice after the delay, the bilirubin indirect bilirubin-based Of hyperbilirubinemia, good nutritional status of children with development, normal liver function, no anemia and reticulocyte increased, liver and spleen is not large, without any infection, with the exclusion method of diagnosis of breast milk jaundice.