Cashore W J, Stern L
Clin Perinatol. 1984 Jun;11(2):339-57.
When pre-established "safe" limits of serum bilirubin are exceeded, or when hyperbilirubinemia is present in association with other conditions such as prematurity with respiratory distress, asphyxia, or neonatal infections, the need to lessen the risk of bilirubin encephalopathy requires specific and effective interventions to lower the unconjugated or indirect-reacting bilirubin level in infants at risk. To this end the authors examine the criteria for intervention, the means of decreasing serum bilirubin levels, phototherapy, exchange transfusion, and the problem of jaundice in breast-fed infants.
当血清胆红素超过预先设定的“安全”限度时，或者当高胆红素血症与其他情况如伴有呼吸窘迫的早产、窒息或新生儿感染同时存在时，为降低胆红素脑病的风险，需要采取特定有效的干预措施来降低有风险婴儿的未结合胆红素或间接反应胆红素水平。为此，作者研究了干预标准、降低血清胆红素水平的方法、光疗、换血疗法以及母乳喂养婴儿的黄疸问题。
