Phototherapy for neonatal jaundice
Phototherapy for neonatal jaundice
复制标题
DOI：
10.1056/nejmct0708376
复制
发表时间：
2008-02-28
影响因子：
158.5
通讯作者：
McDonagh, Antony F.
中科院分区：
文献类型：
--
作者：
Maisels, M. Jeffrey;McDonagh, Antony F.
一名体重3400克的男婴在经过一次简单的怀孕后，在怀孕37周时出生。这位母亲是一名24岁的初产妇，她的血液是A型Rh阳性。婴儿在医院托儿所的过程并不复杂。虽然他的母亲在建立有效的母乳喂养方面需要相当大的帮助，但他完全是母乳喂养的。黄疸发生在34小时龄。血清总胆红素水平为7.5 mg/10升(128Mol/L)。这名婴儿在40小时内出院，两天后在儿科医生的办公室被看到，现在有明显的黄疸。他的体检结果在其他方面都是正常的，但他的体重为3020克，比他出生时的体重低11%。他的血清总胆红素水平为19.5毫克/分升(333微克分子/升)，其结合(直接)胆红素水平为0.6毫克/分升(10微克分子/升)。全血细胞计数和外周血涂片正常。这名婴儿的血液是A型Rh阳性。儿科医生向新生儿医生咨询是否需要进行光疗。
A male infant weighing 3400 g was born at 37 weeks' gestation after an uncomplicated pregnancy. The mother is a 24-year-old primipara who has type A Rh-positive blood. The infant's course in the hospital nursery was uncomplicated. Although his mother needed considerable help in establishing effective breast-feeding, he was exclusively breast-fed. Jaundice was noted at the age of 34 hours. The total serum bilirubin level was 7.5 mg per deciliter (128 mu mol per liter). The infant was discharged at the age of 40 hours and is seen in the pediatrician's office 2 days later, now with marked jaundice. The results of his physical examination are otherwise normal, but his weight, at 3020 g, is 11% below his birth weight. His total serum bilirubin level is 19.5 mg per deciliter (333 mu mol per liter), and his conjugated (direct) bilirubin level 0.6 mg per deciliter (10 mu mol per liter). The complete blood count and peripheral-blood smear are normal. The infant has type A Rh-positive blood. The pediatrician consults a neonatologist regarding the need for phototherapy.