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饮食养生:黄疸严重的新生儿会出现什么反应

文章目录一、黄疸严重的新生儿会出现什么反应二、黄疸的病因三、黄疸的治疗黄疸严重的新生儿会出现什么反应1、黄疸严重的新生儿会出现什么反应1.1、生理性黄疸出生后2~3天出现,4~5天最显,7~10天自然消退。

Article contents 1, jaundice serious newborn will appear what reaction 2, jaundice etiology 3, jaundice treatment, what reaction will appear in severe jaundice newborn 1. 1, physiological jaundice after birth 2 ~ 3 days, 4 ~ 5 days most obvious, 7 ~ 10 days of natural regression.

成熟儿血清胆红质多<12mg%,未成熟儿可<15mg%。

The serum bilirubin content in mature infants was higher than that in immature infants.

1.3、感染或败血症:大都有感染病灶,伴发热及其他中毒症状。

1.3 infection or sepsis: most of them have infection focus, accompanied by fever and other toxic symptoms.

2、黄疸的鉴别诊断应与新生儿溶血症、新生儿败血症、母乳性黄疸、生理性黄疸、g-6-pd缺乏、新生儿肝炎、完全性肝内梗阻、胆道闭锁等疾病相鉴别。

2. The differential diagnosis of jaundice should be distinguished from neonatal hemolysis, neonatal sepsis, breast milk jaundice, physiological jaundice, G-6-PD deficiency, neonatal hepatitis, complete intrahepatic obstruction, biliary atresia and other diseases.

3、黄疸的并发症新生儿黄疸的严重并发症为胆红素脑病。

3. The serious complication of neonatal jaundice is bilirubin encephalopathy.

溶血性黄疸出现较早,多发生于出生后3~5天。

Hemolytic jaundice appeared earlier, mostly occurred in 3-5 days after birth.

当存在早产、窒息、呼吸困难或缺氧,严重感染、低白蛋白血症、低血糖、低体温、酸中毒或体重低于1.5kg等高危因素时,血清胆红素低于临界值亦可发生胆红素脑病。

When there are high risk factors such as premature delivery, asphyxia, dyspnea or hypoxia, severe infection, hypoalbuminemia, hypoglycemia, hypothermia, acidosis or body weight lower than 1.5kg, bilirubin encephalopathy may occur when serum bilirubin is lower than the critical value.

一般可于重度黄疸高峰后12~48小时出现症状。

Symptoms usually appear in 12-48 hours after the peak of severe jaundice.

黄疸的病因1、生理性黄疸新生儿生理性黄疸是新生儿时期所特有的一种现象,由于胎儿在宫内低氧环境下,血液中的红细胞生成过多,且这类红细胞多不成熟,易被破坏,胎儿出生后,造成胆红素生成过多,约为成人的两倍;另一方面,新生儿肝脏功能不成熟,使胆红素代谢受限制等原因,造成新生儿在一段时间出现黄疸现象。

The etiology of jaundice 1. Physiological jaundice of the newborn is a unique phenomenon in the neonatal period. Due to the fetus in the intrauterine hypoxic environment, there are too many red blood cells in the blood, which are immature and easy to be destroyed. After the fetus is born, the production of bilirubin is too much, which is about twice that of adults. On the other hand, the liver function of the newborn is not mature, Bilirubin metabolism is restricted and other reasons, resulting in neonatal jaundice in a period of time.

少数母乳喂养的新生儿,其黄疸程度超过正常生理性黄疸,原因还不十分明了。

A small number of breast-feeding newborns, the degree of jaundice than normal physiological jaundice, the reason is not very clear.

由于母乳中含有孕二醇激素,它可以抑制新生儿肝脏中葡萄糖醛酸转移酶的活力,致使血液中的胆红素不能及时进行代谢和排泄,于是血液中的胆红素浓度增加,出现新生儿皮肤和巩膜的黄染。

Due to the presence of pregnanediol hormone in breast milk, it can inhibit the activity of glucuronosyltransferase in the liver of newborns, resulting in bilirubin in the blood can not be metabolized and excreted in time, so the concentration of bilirubin in the blood increases, and the skin and sclera of newborns are yellow stained.

注意光疗时患病的宝宝应裸体,但要注意保护宝宝的眼睛及生殖器。

Pay attention to phototherapy sick baby should be naked, but pay attention to protect the baby's eyes and genitals.

4、苯巴比妥作为酶诱导剂可激活葡萄糖醛酸转移酶,加速间接胆红素葡萄糖醛酸化,剂量5毫克/千克体重/天,口服。

4. Phenobarbital, as an enzyme inducer, can activate glucuronosyltransferase and accelerate indirect bilirubin glucuronization at a dose of 5 mg/kg body weight/day.

5、中药治疗:菌陈黄(黄连、黄苓、黄柏、栀子、菌陈、大黄)或菌陈蒿汤口服。

5. Chinese medicine treatment: junchenhuang (Coptis, Huangling, Huangbai, gardenia, Junchen, rhubarb) or junchenhao decoction.

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