Severely high serum unbound bilirubin level after abdominal surgery in a newborn
Severely high serum unbound bilirubin level after abdominal surgery in a newborn
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新生儿腹部手术后血清游离胆红素水平严重升高
作者：
Morioka I;Miwa A;Yokota T;Do Huu CT;Nagasaka M;Koda T;Matsuo K;Morikawa S;Shibata A,Hisamatsu C;Nishio H;Yamada H;Nishijima E;Iijima K
我们报告一位患有肠旋转不良的新生儿，在接受腹部手术后，出现严重的高血清游离胆红素及低血清白蛋白，但血清总胆红素并未明显增加，因此需要进行换血及补充白蛋白。出生后不久接受腹部手术的新生儿血清未结合胆红素水平可能与血清总胆红素水平高度相关，手术后出现低白蛋白血症。
We report a newborn with intestinal malrotation who developed a severely high serum unbound bilirubin level and a low serum albumin level without a marked increase in serum total bilirubin level after abdominal surgery, which required exchange transfusion and albumin supplementation. The serum unbound bilirubin level may be highly relative to the serum total bilirubin level in newborns who have undergone abdominal surgery soon after birth and are hypoalbuminemic after surgery.