摘要
本文报告３０例新生儿胆红素脑病，并随访。其主要病因为感染，其次为溶血症。住院中死亡１２例（４０％）．对出院１８例进行随访，有联系者仅６例，其中１例死亡，５例存活者均有严重后遗症。住院中２９例作胆红素测定，２０例＞３４２μｍｏｌ／Ｌ，但９例＜３４２μｍｏｌ／Ｌ，虽不到“临界值”亦发生脑病；５例作ＢＡＥＰ检查，均示周围听力损害。因此凭胆红素高低来判断该病发生与否受限，而ＢＡＥＰ可早期发现对神经系统损害，对早期诊断该病有一定价值。
he clinical manifestation and follow-up study of 30 cases of newbom kemicterus are reported. Mian causes of kernicterus were infection and hemolysis disease of newbom.newbom.Serum bilirubin measured 29 cases, with 20 cases, 20 casesserum bilinibin > 342umol/L,and 9 cases < 342umol/L.12 cases died.And 18had been followed-up in 5 months to9 yeaxs. In the follow-up study of 6 cases.ldied aild 5 with severe sequels.5 cases were tested by BAEP,allshowing. poripheral hearing loss.However the occurrrence of kemuictenis was not exactly parallel with the concentrtionof serum bilirubin because some prematures with serum bilirubin lower that”critical valus”also suffered from ker-nicterus,so eraly diagnosis and timtinent are imlportant,if necessary exchange transfusion should be carried otu,especially in premature haby.BAEP can be used to detect early NS and auditory damage.
出处
《重庆医科大学学报》
CAS
CSCD
1996年第1期48-50,共3页
Journal of Chongqing Medical University
