Maisels M J
Department of Pediatrics, William Beaumont Hospital, Royal Oak, MI 48073, USA.
J Perinatol. 2001 Dec;21 Suppl 1:S93-7; discussion S104-7. doi: 10.1038/sj.jp.7210642.
An observation by an English nurse in 1956 led to the discovery that visible light could lower serum bilirubin levels in newborn infants, and subsequent research showed how photons of light energy are absorbed by the bilirubin molecule converting it into isomers that are readily excreted by the liver and the kidney. Understanding the dose-response effect and other factors that influence the way light works to lower bilirubin levels has led to the effective use of phototherapy and has eliminated the need for exchange transfusion in almost all jaundiced infants.
1956年,一位英国护士的观察发现可见光可降低新生儿的血清胆红素水平,随后的研究表明光能光子如何被胆红素分子吸收,将其转化为异构体,这些异构体很容易被肝脏和肾脏排出。了解剂量反应效应以及其他影响光降低胆红素水平作用方式的因素,使得光疗得到有效应用,几乎消除了所有黄疸婴儿进行换血治疗的必要性。