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普及新生儿病理性黄疸相关知识

时间:2016-08-23 内容来源:妈妈爱网
作为新手的宝爸宝妈,您了解多少新生儿黄疸的相关知识?小编今天普及一下新生儿黄疸的相关知识。其中新生儿黄疸分为生理性和病理性,新手爸妈应该仔细观察孩子的黄疸变化,区别孩子是生理性黄疸还是病理性黄疸对于治疗十分重要。那什么是病理性黄疸?引起病理性黄疸的原因?病理性黄疸有哪些症状?病理性黄疸如何治疗?

普及新生儿病理性黄疸相关知识

ZUOWEIXINSHOUDEBAOBABAOMA,NINLEJIEDUOSHAOXINSHENGERHUANGDANDEXIANGGUANZHISHI?XIAOBIANJINTIANPUJIYIXIAXINSHENGERHUANGDANDEXIANGGUANZHISHI。QIZHONGXINSHENGERHUANGDANFENWEISHENGLIXINGHEBINGLIXING,XINSHOUBAMAYINGGAIZIXIGUANCHAHAIZIDEHUANGDANBIANHUA,QUBIEHAIZISHISHENGLIXINGHUANGDANHAISHIBINGLIXINGHUANGDANDUIYUZHILIAOSHIFENZHONGYAO。NEISHENMESHIBINGLIXINGHUANGDAN?YINQIBINGLIXINGHUANGDANDEYUANYIN?BINGLIXINGHUANGDANYOUNAXIEZHENGZHUANG?BINGLIXINGHUANGDANRUHEZHILIAO?

病理性黄疸

JUYOUYIXIATEDIAN:1.HUANGDANCHUXIANGUOZAO,CHANGZAI24hNEICHUXIAN;2.HUANGDANCHENGDUGUOZHONG,XUEQINGDANHONGSU>205-257umol/L;3.HUANGDANJINZHANGUOKUAI,XUEQINGDANHONGSUMEIRISHANGSHENG>85umol/L;4.HUANGDANCHIXUDUOJIU,ZUYUEER>2ZHOU,ZAOCHANER>4ZHOU;5.HUANGDANTUNERFUXIAN,HUOZAIDUJINXINGXINGJIAZHONG;6.XUEQINGJIEHEDANHONGSU>26umol/L。FANFUHEYISHANGTEDIANZHIYIZHEKEZHENDUANWEIBINGLIXINGHUANGDAN。

引起病理性黄疸的原因

1、MOUXIEYUANYIN(XIANTIANXINGDAIXIEMEIHEHONGXIBAOYICHUANXINGQUEXIAN)YIJILIHUA、SHENGWUJIMIANYIYINSUSUOZHIDETINEIHONGXIBAOPOHUAIGUODUO,FASHENGPINXUE、RONGXUE,SHIXUENEIDANHONGSUYUANLIAOGUOSHENG,JUNKEZAOCHENGGANQIANXINGHUANGDAN。RUZISHENMIANYIXINGRONGXUEXINGPINXUE、YICHUANXINGQIUXINGHONGXIBAOZENGDUOZHENG、BUWENDINGXUEHONGDANBAIBINGDENG。 2、YOUYUJIESHIHEGAN、DAN、YIZHONGLIUYIJIQITAYANZHENG,ZHISHIDANDAOGENGZU,DANZHIBUNENGPAIRUXIAOCHANG,JIUKEZAOCHENGGANHOUXINGHUANGDAN。CHANGJIANJIBINGBAOKUO:HUANONGXINGDANGUANYAN、DANZONGGUANJIESHI、YITOUAI、YIXIANYAN、DANGUANHUODANNANGAI。 3、XIANTIANXINGFEIRONGXUEXINGHUANGDAN:JIERBOTE(Gilbert)BINGJIDubin-JohnsonERSHIZONGHEZHENGYINQIDEHUANGDANHEXINSHENGMEISUYINQIDEHUANGDAN,DOUSHIGANXIBAONEIDANHONGSUJIEHEZHANGAI、DANHONGSUDAIXIEGONGNENGQUEXIANSUOZAOCHENGDE。 4、YANZHONGXINZANGBINGHUANZHEXINWUSHUAIJIESHI,GANZANGZHANGQIYUXUEZHONGDA,KEYIFASHENGHUANGDAN。 5、YAOWUXINGSUNHAI。YOUFUYAOSHI、FUYONGLVBINGQIN、YINDUOMEIXIN(XIAOYANTONG)、BENBABITUOLEI、HUANGANLEI、DUIANSHUIYANGSUAN、KABASHENDENG,KEZHIZHONGDUXINGGANYAN。CISHIWEICHANGDAOZHENGZHUANGBUMINGXIAN,HUANGDANCHUXIANZHIQIANWUFARE,XUEQINGZHUANANMEISHENGGAOHENMINGXIAN,DANXUZHUOFANYINGZHENGCHANGDENGKEZIJIANBIE。

普及新生儿病理性黄疸相关知识

新生儿病理性黄疸的临床症状

熊猫电竞 HUANGDANCHUXIANGUOZAO(24XIAOSHINEI);HUANGDANGUOZHONG,SHOUZUXINFAHUANG,XUEQINGDANHONGSUDAYU205WEIMOER/SHENG;HUANGDANTUIERFUXIANHUOXUNSUJIAZHONG,XUEQINGDANHONGSUMEIRISHENGGAODAYU85.5WEIMOER/SHENGDENG,HUANGDANCHIXUGUOJIU,ZUYUEERDAYU2ZHOU,ZAOCHANERDAYU4ZHOU。

新生儿病理性黄疸的治疗方案

1.BINGYINZHILIAO

XIANYINGMINGQUEBINGLIXINGHUANGDANDEYUANYIN,YOUZHENDUIXINGDIQUCHUBINGYIN。

2.YAOWUZHILIAO

熊猫电竞 (1)MEIYOUDAOJI:BENBABITUOMEIRI4~8mg/kg,FUZUOYONGYOUSHISHUIJISHUNNAIHUANMAN。

(2)TANGPIZHIJISU:KEYONGPONISONGMEIRI1~2mg/kgHUODISAIMISONGMEIRI0.3~0.5mg/kg,DANYINGGENJUYINQIHUANGDANBINGYINSHENZHONGSHIYONG。

(3)ZHONGYAO:YIYINCHENHAOTANGWEIZHU。

3.GUANGLIAO

FANGEZHONGYUANYINYINQIDEJIANJIEDANHONGSUSHENGGAOJUNKEJINXINGGUANGLIAO,YIBANXUEQINGZONGDANHONGSUDA205.2~256.5μmol/L(12~15mg/dl)YISHANGSHISHIYONG。RUOYIQUEZHENWEIMUZIXUEXINGBUHERONGXUEZHENGSHI,YIDANCHUXIANHUANGDANJIKESHIYONGGUANGLIAO。

SHIYONGGUANGLIAOSHIYINGZHUYI:①GUANGLIAOXIANGWENDUYINGBAOCHI30℃ZUOYOU,SHIDU60%。②YINGERYINGQUANSHENCHILUO,YONGHEIZHIBAOHUSHUANGYAN,BINGZHEGAIGAOWAN,CHUWEINAIJIHULICAOZUOSHIZANTINGWAI,YINGCHIXUZHAOSHE。③DINGQIYONGLANGUANGFUSHEJICEQIGONGNENG。ZUIYOUXIAODEGUANGPUBOZHANG427~475nmDELANGUANG。DENGYUANYUYINGERJULI 50cm,ZONGWASHUWEI160~320W。SHIYONGGUANGLIAODEFUZUOYONGYOUFARE、FUXIE、PIZHEN、HEHUANGSUQUEFA、XUEXIAOBANJIANSHAO、QINGTONGZHENGDENG,TINGGUANGLIAOHOUKEZIXINGHUIFU。

4.HUANXUELIAOFA

TONGGUOPAIXIEKESHIDANGJIANQINGHUANGDANZHENGZHUANG

熊猫电竞 DANGXINSHENGERHUANGDANBUSHIHENYANZHONGDESHIHOU,LIRUYANJINGMEIYOUCHUXIANHUANGSE。ZHISHILIANJIAYOUYIDIANHUANGSE。KETONGPAIXIEJIANQINGZHENGZHUANG。JINLIANGDUOJIXINSHENGERHESHUI。KESHIDANGJIARUSHAOLIANGPUTAOTANG。YOUZHUYUHUANGDANTUIQU。YIBANKENENG7-15TIANZUOYOUHUITUIQU。

普及新生儿病理性黄疸相关知识

新生儿病理性黄疸疾病预防

熊猫电竞 BINGLIXINGHUANGDANBULUNHEZHONGYUANYIN,YANZHONGSHIJUNKEYINQI“HEHUANGDAN”,QIYUHOUCHA,CHUKEZAOCHENGSHENJINGXITONGSUNHAIWAI,YANZHONGDEKEYINQISIWANG。YINCI,XINSHENGERBINGLIXINGHUANGDANYINGZHONGZAIYUFANG,RUYUNQIFANGZHIGONGXINGTI、FENGZHENBINGDUDEGANRAN,YOUQISHIZAIYUNZAOQIFANGZHIBINGDUGANRAN;CHUSHENGHOUFANGZHIBAIXUEZHENGDEFASHENG;XINSHENGERCHUSHENGSHIJIEZHONGYIGANYIMIAODENG。JIAZHANGYAOMIQIEGUANCHAHAIZIDEHUANGDANBIANHUA,RUFAXIANYOUBINGLIXINGHUANGDANDEJIXIANG,YINGJISHISONGYIYUANZHENZHI。

怎样识别新生儿黄疸

熊猫电竞 ZIXIGUANCHAHAIZIDEHUANGDANBIANHUA,QUBIEHAIZISHISHENGLIXINGHUANGDANHAISHIBINGLIXINGHUANGDANDUIYUZHILIAOSHIFENZHONGYAO。FUMUKEYIGENJUYIXIADETEDIANLAISHIBIE:  XINSHENGERSHENGLIXINGHUANGDANYIBANBUSHEN,QITEDIAN:①HUANGDANYIBANZAISHENGHOU2-3TIANKAISHICHUXIAN。②HUANGDANZHUJIANJIASHEN,ZAIDI4-6TIANDAGAOFENG,YIHOUZHUJIANJIANQING。③ZUYUECHUSHENGDEXINSHENGER,HUANGDANYIBANZAISHENGHOU2ZHOUXIAOTUI,ZAOCHANERYIBANZAISHENGHOU3ZHOUXIAOTUI。④HUANGDANCHENGDUYIBANBUSHEN,PIFUYANSECHENGDANHUANGSE,HUANGDANCHANGZHIXIANYUMIANBUHESHANGBANSHEN,HUANGDANSHIHAIZIDEYIBANQINGKUANGLIANGHAO,TIWENZHENGCHANG,SHIYUZHENGCHANG,DAXIAOBIANDEYANSEZHENGCHANG,SHENGZHANGFAYUZHENGCHANG。⑤HUAYANXUEQINGDANHONGSUCHAOGUOZHENGCHANG2mg/dl,DANXIAOYU12mg/dl。RUGUOHAIZIDEHUANGDANSHUYUZHEIZHONGQINGKUANG,FUMUJIBUBIDANXIN。

病理性黄疸特征

熊猫电竞 ①HUANGDANCHUXIANSHIJIANGUOZAO,YUSHENGHOU24XIAOSHINEICHUXIAN。②HUANGDANXIAOTUISHIJIANGUOWAN,CHIXUSHIJIANGUOZHANG,CHAOGUOZHENGCHANGDEXIAOTUISHIJIAN,HUOHUANGDANYIJINGXIAOTUIERYOUCHUXIAN,HUOHUANGDANZAIGAOFENGSHIJIANHOUJIANTUIERYOUJINXINGXINGJIAZHONG。③HUANGDANCHENGDUGUOZHONG,CHANGBOJIQUANSHEN,QIEPIFUNIANMOMINGXIANFAHUANG。④JIANCHAXUEQINGDANHONGSUSHI,DANHONGSUCHAOGUO12mg/dl,HUOSHANGSHENGGUOKUAI,MEIRISHANGSHENGCHAOGUO5mg/dl。⑤CHUHUANGDANWAI,BANYOUQITAYICHANGQINGKUANG,RUJINGSHENPILEI,SHAOKU,SHAODONG,SHAOCHIHUOTIWENBUWENDINGDENG。  BINGLIXINGHUANGDANYANZHONGSHIKEBINGFADANHONGSUNAOBING,TONGCHANGCHENG“HEHUANGDAN”,ZAOCHENGSHENJINGXITONGSUNHAI,DAOZHIERTONGZHILIDIXIADENGYANZHONGHOUYIZHENG,SHENZHISIWANG。YINCI,DANGHAIZICHUXIANHUANGDANSHI,RUYOUYISHANG5GEFANGMIANZHONGDERENHEYIXIANG,JIUYINGGAIYINQIFUMUDEGAODUZHONGSHI,ZHEIYANGJIUNENGZAOQIFAXIANBINGLIXINGHUANGDANYIBIANJISHIZHILIAO。

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