Mathew P M, Wharton B A
Arch Dis Child. 1981 Dec;56(12):949-53. doi: 10.1136/adc.56.12.949.
A problem-orientated case record was used for the investigation and management of neonatal jaundice. Investigation of babies requiring phototherapy rarely showed any abnormality but we consider that such routine investigations are worth retaining. There were problems in the interpretation of moderately low plasma concentrations of thyroxine in small, preterm babies. There was biochemical evidence of hepatitis in 3 babies; in all 3 the biochemical abnormality was mild and had disappeared 6 months later in 2 of them. It may be that mild episodes of the neonatal hepatitis syndrome are more common than have been thought and that such infants have a fairly good prognosis.
采用以问题为导向的病例记录来调查和处理新生儿黄疸。对需要光疗的婴儿进行的检查很少显示出任何异常,但我们认为这种常规检查值得保留。对于小的早产儿,血浆甲状腺素浓度中度降低的解读存在问题。有3名婴儿有肝炎的生化证据;所有3名婴儿的生化异常都很轻微,其中2名婴儿在6个月后异常消失。可能新生儿肝炎综合征的轻度发作比人们认为的更常见,而且这类婴儿预后相当好。