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母乳喂养和人工喂养婴儿长期黄疸的临床研究。

Clinical study of prolonged jaundice in breast- and bottle-fed babies.

作者信息

Winfield C R, MacFaul R

出版信息

Arch Dis Child. 1978 Jun;53(6):506-7. doi: 10.1136/adc.53.6.506.

Abstract

A study of 893 births was undertaken to determine the incidence of prolonged neonatal jaundice. 55% of these babies were breast feeding on discharge from the maternity hospital. Jaundice lasting for 3 weeks or more was found in 12 breast-fed term babies (2-4% of all breast-fed babies), and in no bottle-fed infant. 3 of the jaundiced babies gained weight poorly in the first 3 weeks of life, but after that age failure to thrive was not associated with the prolonged jaundice. The hyperbilirubinaemia, which persisted in 11 infants from between 21 to 80 days (mean 39 days), was due to elevations in both conjugated and unconjugated fractions.

摘要

为确定新生儿黄疸持续时间延长的发生率,对893例出生情况进行了研究。这些婴儿中55%在从妇产医院出院时正在母乳喂养。在12名足月母乳喂养婴儿中发现黄疸持续3周或更长时间(占所有母乳喂养婴儿的2 - 4%),而人工喂养婴儿中未发现。3例黄疸婴儿在出生后的前3周体重增加不佳,但在该年龄之后,发育不良与黄疸持续时间延长无关。11例婴儿的高胆红素血症持续21至80天(平均39天),这是由于结合胆红素和非结合胆红素均升高所致。

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本文引用的文献

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HYPERBILIRUBINEMIA IN BREAST-FED INFANTS.
Pediatrics. 1963 Dec;32:995-1001.
3
Pregnanediols and neonatal hyperbilirubinemia.孕二醇与新生儿高胆红素血症
Am J Dis Child. 1966 Apr;111(4):353-6. doi: 10.1001/archpedi.1966.02090070051003.

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