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新生儿黄疸的护理
","type":1},{"audio_music_id":0,"ext":{"unique_id":"3ae6666d0553345be68e18ec8f044043"},"sectionPublished":false,"source":0,"text":"俗话说:“十个宝宝九个黄”新生儿黄疸可能是大部分新手爸妈遇到的第一个难题。
","type":1},{"audio_music_id":0,"ext":{"unique_id":"b66914af94161fc9531cd9b9f50cd6d1"},"sectionPublished":false,"source":0,"text":"什么是新生儿黄疸
","type":1},{"audio_music_id":0,"ext":{"unique_id":"8ef68c6a8896a135568ab5a032bc7502"},"sectionPublished":false,"source":0,"text":"医学上把未满月(出生28天内)新生儿的黄疸,称之为新生儿黄疸(neonatal jaundice),新生儿黄疸是指新生儿时期,由于胆红素代谢异常,引起血中胆红素水平升高,而出现以皮肤、黏膜及巩膜黄染为特征的病症,是新生儿中最常见的临床问题。黄疸在新生儿中非常常见,大约60%的足月儿和80%的早产儿会有肉眼可见的黄疸。
","type":1},{"audio_music_id":0,"ext":{"unique_id":"2c6af4b3fa535087a7f12a0b2ec0e3cd"},"img_height":1278,"img_url":"https://ss-mpvolc.meipian.me/users/5049184/61c2057dc0daab009f9884483f7996c8__jpg.heic","img_width":1080,"is_origin":false,"sectionPublished":false,"source":0,"type":1,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvNTA0OTE4NC82MWMyMDU3ZGMwZGFhYjAwOWY5ODg0NDgzZjc5OTZjOF9fanBnLmhlaWM=/nickname/6auY5bCP5qC3/userid/NTA0OTE4NA==/sign/69e202a2dd1d905ba95ee4ac4dd0edc4"},{"audio_music_id":0,"ext":{"unique_id":"a682c4c9cbc6bb937546945b0038283f"},"sectionPublished":false,"source":0,"text":"黄疸的分类
1、生理性黄疸
2、病理性黄疸
3、母乳性黄疸
","type":1},{"audio_music_id":0,"ext":{"unique_id":"e79e8c0ce76a02107a635a2364ad535d"},"sectionPublished":false,"source":0,"text":"生理性、病理性大不同
出现时间不同:
生理性黄疸足月儿生后2~3天出现黄疸;早产儿生后3~5天出现黄疸。
病理性黄疸在生后24小时内即出现。
黄疸进展不同:
生理性黄疸进展较慢,每日胆红素升高小于5mg/dl。
病理性黄疸在一天内加深很多,每日胆红素上升大于5mg/dl。
消退时间不同:
生理性黄疸足月儿4~5天达高峰,5~7天消退,最迟不超过2周;早产儿5~7天达高峰,7~9天消退,最长可延迟到3~4周。
病理性黄疸黄疸持续时间长:足月儿大于2周,早产儿大于4周。
退而复现现象不同:
生理性黄疸无
病理性黄疸有
","type":1},{"audio_music_id":0,"ext":{"unique_id":"9a2c505ca249f20cca801afe77855a3c"},"img_height":1236,"img_url":"https://ss-mpvolc.meipian.me/users/5049184/2ea880388e0fa6a62c5d816fa691c79b__jpg.heic","img_width":1038,"is_origin":false,"sectionPublished":false,"source":0,"type":1,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvNTA0OTE4NC8yZWE4ODAzODhlMGZhNmE2MmM1ZDgxNmZhNjkxYzc5Yl9fanBnLmhlaWM=/nickname/6auY5bCP5qC3/userid/NTA0OTE4NA==/sign/69e202a2dd1d905ba95ee4ac4dd0edc4"},{"audio_music_id":0,"ext":{"unique_id":"8f6bbb586c4c7a9cef8837bc1fe7d5d6"},"sectionPublished":false,"source":0,"text":"新生儿黄疸的治疗
生理性黄疸多数无需特殊干预,加强喂养,多吃多排,一般持续5-6天后,密切观察,可自行消退;对于病理性黄疸,需要在光、药物治疗等前提下,明确引起黄疸的原发病,并针对原发病进行治疗。
光疗
目前治疗新生儿非结合(间接)胆红素升高的主要方法:最常用的是蓝光照封治疗,促进非结合胆泄。通常采用连续照射的方法,光疗过程中注意监测血清胆红素水平变化。
换血疗法
通常用于重症新生儿溶血或严重败血症等疾病。对于黄疸水平高、进展快的新生儿,或者有核黄直症状的患者,具有换血治疗指征。
药物治疗
免疫球蛋白输注免球蛋白治疗血型不合溶血引起的高胆红素血症。极少数会出现过敏、皮、发热等不良反应。白蛋白补充白蛋白结合游离胆红素,降低血液中红素水平。如果儿白蛋白水平正常,则不建议使用。出现过敏、皮疹、发烧等不良反应。苯巴比可以导肝酶活性,促进肝脏对非结合胆红素的代谢,可能会引起嗜睡等不良反应。
支持治疗
主要是积极预防和治疗缺氧、高碳酸血症、寒冷损伤、饥饿、感染以及高渗药物输注等,防止血脑屏障暂时性开放,预防胆红素脑病的发生。
","type":1},{"audio_music_id":0,"ext":{"unique_id":"25d29e858285b652b382862e15b28506"},"img_height":1098,"img_url":"https://ss-mpvolc.meipian.me/users/5049184/a7d0f1478fea3f14d19ddc04d8725c97__jpg.heic","img_width":1080,"is_origin":false,"sectionPublished":false,"source":0,"type":1,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvNTA0OTE4NC9hN2QwZjE0NzhmZWEzZjE0ZDE5ZGRjMDRkODcyNWM5N19fanBnLmhlaWM=/nickname/6auY5bCP5qC3/userid/NTA0OTE4NA==/sign/69e202a2dd1d905ba95ee4ac4dd0edc4"},{"audio_music_id":0,"ext":{"unique_id":"f9c5e1d75201b70abc935fd76aab646a"},"sectionPublished":false,"source":0,"text":"预防护理
(1)孕母应注意饮食有节,不过食生冷,不过饥过饱,并忌酒和辛热之品,以防损伤脾胃。
(2)婴儿出生后就密切观察其巩膜黄疸情况,发现黄疸应尽早治疗, 并观察黄疸色泽变化以了解黄疸的进退。
(3)注意观察胎黄婴儿的全身症候,有无精神萎靡、嗜睡、吮乳困难、惊厥不安、两斜视、四肢强直或抽搐等症,以便对重症患儿及早发现及时处理。
(4)密切观察心率、心音、贫血程度及肝脏大小变化,早期预防和治疗心力衰竭。
(5)注意保护婴儿皮肤、脐部及臀部清洁,防止破损感染。
","type":1},{"audio_music_id":0,"ext":{"unique_id":"f1e0c02ead50f6f01b4d077ada89ea16"},"img_height":1064,"img_url":"https://ss-mpvolc.meipian.me/users/5049184/e65388b8ae8fe776dc66f8f188ea12e0__jpg.heic","img_width":1080,"is_origin":false,"sectionPublished":false,"source":0,"type":1,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvNTA0OTE4NC9lNjUzODhiOGFlOGZlNzc2ZGM2NmY4ZjE4OGVhMTJlMF9fanBnLmhlaWM=/nickname/6auY5bCP5qC3/userid/NTA0OTE4NA==/sign/69e202a2dd1d905ba95ee4ac4dd0edc4"},{"audio_music_id":0,"ext":{"unique_id":"cf823f6afdd927a7c0ba7347eef975d5"},"sectionPublished":false,"source":0,"text":"八五二农场医院儿科电话:
5308599- 8022
关注我们,八五二农场医院儿科为宝宝的健康成长保驾护航!
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","type":1},{"audio_music_id":0,"ext":{"unique_id":"3ae6666d0553345be68e18ec8f044043"},"sectionPublished":false,"source":0,"text":"俗话说:“十个宝宝九个黄”新生儿黄疸可能是大部分新手爸妈遇到的第一个难题。
","type":1},{"audio_music_id":0,"ext":{"unique_id":"b66914af94161fc9531cd9b9f50cd6d1"},"sectionPublished":false,"source":0,"text":"什么是新生儿黄疸
","type":1},{"audio_music_id":0,"ext":{"unique_id":"8ef68c6a8896a135568ab5a032bc7502"},"sectionPublished":false,"source":0,"text":"医学上把未满月(出生28天内)新生儿的黄疸,称之为新生儿黄疸(neonatal jaundice),新生儿黄疸是指新生儿时期,由于胆红素代谢异常,引起血中胆红素水平升高,而出现以皮肤、黏膜及巩膜黄染为特征的病症,是新生儿中最常见的临床问题。黄疸在新生儿中非常常见,大约60%的足月儿和80%的早产儿会有肉眼可见的黄疸。
","type":1},{"audio_music_id":0,"ext":{"unique_id":"2c6af4b3fa535087a7f12a0b2ec0e3cd"},"img_height":1278,"img_url":"https://ss-mpvolc.meipian.me/users/5049184/61c2057dc0daab009f9884483f7996c8__jpg.heic","img_width":1080,"is_origin":false,"sectionPublished":false,"source":0,"type":1,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvNTA0OTE4NC82MWMyMDU3ZGMwZGFhYjAwOWY5ODg0NDgzZjc5OTZjOF9fanBnLmhlaWM=/nickname/6auY5bCP5qC3/userid/NTA0OTE4NA==/sign/69e202a2dd1d905ba95ee4ac4dd0edc4"},{"audio_music_id":0,"ext":{"unique_id":"a682c4c9cbc6bb937546945b0038283f"},"sectionPublished":false,"source":0,"text":"黄疸的分类
1、生理性黄疸
2、病理性黄疸
3、母乳性黄疸
","type":1},{"audio_music_id":0,"ext":{"unique_id":"e79e8c0ce76a02107a635a2364ad535d"},"sectionPublished":false,"source":0,"text":"生理性、病理性大不同
出现时间不同:
生理性黄疸足月儿生后2~3天出现黄疸;早产儿生后3~5天出现黄疸。
病理性黄疸在生后24小时内即出现。
黄疸进展不同:
生理性黄疸进展较慢,每日胆红素升高小于5mg/dl。
病理性黄疸在一天内加深很多,每日胆红素上升大于5mg/dl。
消退时间不同:
生理性黄疸足月儿4~5天达高峰,5~7天消退,最迟不超过2周;早产儿5~7天达高峰,7~9天消退,最长可延迟到3~4周。
病理性黄疸黄疸持续时间长:足月儿大于2周,早产儿大于4周。
退而复现现象不同:
生理性黄疸无
病理性黄疸有
","type":1},{"audio_music_id":0,"ext":{"unique_id":"9a2c505ca249f20cca801afe77855a3c"},"img_height":1236,"img_url":"https://ss-mpvolc.meipian.me/users/5049184/2ea880388e0fa6a62c5d816fa691c79b__jpg.heic","img_width":1038,"is_origin":false,"sectionPublished":false,"source":0,"type":1,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvNTA0OTE4NC8yZWE4ODAzODhlMGZhNmE2MmM1ZDgxNmZhNjkxYzc5Yl9fanBnLmhlaWM=/nickname/6auY5bCP5qC3/userid/NTA0OTE4NA==/sign/69e202a2dd1d905ba95ee4ac4dd0edc4"},{"audio_music_id":0,"ext":{"unique_id":"8f6bbb586c4c7a9cef8837bc1fe7d5d6"},"sectionPublished":false,"source":0,"text":"新生儿黄疸的治疗
生理性黄疸多数无需特殊干预,加强喂养,多吃多排,一般持续5-6天后,密切观察,可自行消退;对于病理性黄疸,需要在光、药物治疗等前提下,明确引起黄疸的原发病,并针对原发病进行治疗。
光疗
目前治疗新生儿非结合(间接)胆红素升高的主要方法:最常用的是蓝光照封治疗,促进非结合胆泄。通常采用连续照射的方法,光疗过程中注意监测血清胆红素水平变化。
换血疗法
通常用于重症新生儿溶血或严重败血症等疾病。对于黄疸水平高、进展快的新生儿,或者有核黄直症状的患者,具有换血治疗指征。
药物治疗
免疫球蛋白输注免球蛋白治疗血型不合溶血引起的高胆红素血症。极少数会出现过敏、皮、发热等不良反应。白蛋白补充白蛋白结合游离胆红素,降低血液中红素水平。如果儿白蛋白水平正常,则不建议使用。出现过敏、皮疹、发烧等不良反应。苯巴比可以导肝酶活性,促进肝脏对非结合胆红素的代谢,可能会引起嗜睡等不良反应。
支持治疗
主要是积极预防和治疗缺氧、高碳酸血症、寒冷损伤、饥饿、感染以及高渗药物输注等,防止血脑屏障暂时性开放,预防胆红素脑病的发生。
","type":1},{"audio_music_id":0,"ext":{"unique_id":"25d29e858285b652b382862e15b28506"},"img_height":1098,"img_url":"https://ss-mpvolc.meipian.me/users/5049184/a7d0f1478fea3f14d19ddc04d8725c97__jpg.heic","img_width":1080,"is_origin":false,"sectionPublished":false,"source":0,"type":1,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvNTA0OTE4NC9hN2QwZjE0NzhmZWEzZjE0ZDE5ZGRjMDRkODcyNWM5N19fanBnLmhlaWM=/nickname/6auY5bCP5qC3/userid/NTA0OTE4NA==/sign/69e202a2dd1d905ba95ee4ac4dd0edc4"},{"audio_music_id":0,"ext":{"unique_id":"f9c5e1d75201b70abc935fd76aab646a"},"sectionPublished":false,"source":0,"text":"预防护理
(1)孕母应注意饮食有节,不过食生冷,不过饥过饱,并忌酒和辛热之品,以防损伤脾胃。
(2)婴儿出生后就密切观察其巩膜黄疸情况,发现黄疸应尽早治疗, 并观察黄疸色泽变化以了解黄疸的进退。
(3)注意观察胎黄婴儿的全身症候,有无精神萎靡、嗜睡、吮乳困难、惊厥不安、两斜视、四肢强直或抽搐等症,以便对重症患儿及早发现及时处理。
(4)密切观察心率、心音、贫血程度及肝脏大小变化,早期预防和治疗心力衰竭。
(5)注意保护婴儿皮肤、脐部及臀部清洁,防止破损感染。
","type":1},{"audio_music_id":0,"ext":{"unique_id":"f1e0c02ead50f6f01b4d077ada89ea16"},"img_height":1064,"img_url":"https://ss-mpvolc.meipian.me/users/5049184/e65388b8ae8fe776dc66f8f188ea12e0__jpg.heic","img_width":1080,"is_origin":false,"sectionPublished":false,"source":0,"type":1,"watermark":"?meipian-watermark/bucket/ivwen/key/dXNlcnMvNTA0OTE4NC9lNjUzODhiOGFlOGZlNzc2ZGM2NmY4ZjE4OGVhMTJlMF9fanBnLmhlaWM=/nickname/6auY5bCP5qC3/userid/NTA0OTE4NA==/sign/69e202a2dd1d905ba95ee4ac4dd0edc4"},{"audio_music_id":0,"ext":{"unique_id":"cf823f6afdd927a7c0ba7347eef975d5"},"sectionPublished":false,"source":0,"text":"八五二农场医院儿科电话:
5308599- 8022
关注我们,八五二农场医院儿科为宝宝的健康成长保驾护航!
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