Lauer Bryon J, Spector Nancy D
Drexel University College of Medicine, St. Christopher's Hospital for Children, Philadelphia, PA, USA.
Pediatr Rev. 2011 Aug;32(8):341-9. doi: 10.1542/pir.32-8-341.
After completing this article, readers should be able to: 1. List the risk factors for severe hyperbilirubinemia. 2. Distinguish between physiologic jaundice and pathologic jaundice of the newborn. 3. Recognize the clinical manifestations of acute bilirubin encephalopathy and the permanent clinical sequelae of kernicterus.4. Describe the evaluation of hyperbilirubinemia from birth through 3 months of age. 5. Manage neonatal hyperbilirubinemia, including referral to the neonatal intensive care unit for exchange transfusion.
读完本文后,读者应能够:1. 列出重度高胆红素血症的危险因素。2. 区分新生儿生理性黄疸和病理性黄疸。3. 识别急性胆红素脑病的临床表现和核黄疸的永久性临床后遗症。4. 描述从出生到3个月龄高胆红素血症的评估。5. 处理新生儿高胆红素血症,包括转诊至新生儿重症监护病房进行换血治疗。