新生儿母乳性黄疸150 例分析

目的:探讨新生儿母乳性黄疸诊断及治疗。方法:回顾性分析150例母乳性黄疸患儿的临床资料。给予思密达1.5g·d和蓝光等治疗,部分患儿停喂母乳。结果:早发型母乳性黄疸治疗5～7天后黄疸全部消退。迟发型母乳性黄疸停母乳3天,92.6%黄疸消退。结论:新生儿母乳性黄疸采用药物等综合治疗效果显著,预后良好。

The Analysis of 150 Cases of Neonatal Breast Milk Jaundice

Objective: To study the diagnosis and treatment of neonatal breast milk jaundice(BMJ). Methods: The clinical data of 150 neonates, aged from 25 days to 35 days, males 87 and females 63, with neonatal breast milk jaundice were retrospectively analysed. The patients with neonatal BMJ were treated with Dioctahedral Smectite(DS)(1.5g,three times a day, orally for 5 to 7 days), some were given blue light exposure on the basis of medication, and some were stopped breast feeding. Results: The jaundice of the neonatal patients with premature BMJ totally resolved after treatment for 5 to 7 days, while that of the neonatal patients with late onset BMJ(92.6%) resolved after stopping breast feeding for 3 days. Conclusion: Patients with neonatal BMJ can be cured with medical combined therapy, which can acquire favourable prognosis,but the jaundice changes of patients with BMJ should be paid more attention to in the clinical treatment.