van der Laan E A, Tolboom J J
Afd. Kindergeneeskunde, Academisch Ziekenhuis Nijmegen, St. Radboud.
Tijdschr Kindergeneeskd. 1993 Aug;61(4):158-64.
Jaundice is a common feature in full-term and premature newborns. Considering this high incidence it is important to distinguish physiologic and non-physiologic jaundice. This differentiation is complicated by the presence of a large overlap between ranges of normal and pathologic bilirubin levels in serum. A combination of criteria is proposed on the basis of which on one hand the risk of missing any pathology will be minimal and on the other hand a too extensive diagnostic work-up in patients with a physiologic jaundice is prevented. A systemic approach to neonatal jaundice is described.
黄疸是足月儿和早产儿的常见特征。鉴于其高发病率,区分生理性黄疸和非生理性黄疸很重要。由于血清中正常胆红素水平范围与病理性胆红素水平范围存在很大重叠,这种区分变得复杂。我们提出了一套标准组合,基于此,一方面错过任何病理情况的风险将降至最低,另一方面可避免对生理性黄疸患者进行过于广泛的诊断检查。本文描述了一种新生儿黄疸的系统处理方法。