新生儿黄疸处理“葵花宝典”!

2016-11-19 @白衣奶爸 医学界儿科频道

对于高年资儿科医生来说,新生儿黄疸的处理应该是驾轻就熟,对于年资尚且的医生来说,可能还是需要多查看资料才能妥善处理的,就此,本文特整理新生儿黄疸国内外常用指南,基本全面、完整。1、新生儿高胆红素光疗标准列线图表2、新生儿高胆红素换血疗法标准列线图表曲线解析:……低危新生儿(≥38周,健康儿);- - - - - -中度危险新生儿(≥38周+有危险因素或35~376/7周健康儿);——高危新生儿(3

对于高年资儿科医生来说,新生儿黄疸的处理应该是驾轻就熟,对于年资尚且的医生来说,可能还是需要多查看资料才能妥善处理的,就此,本文特整理新生儿黄疸国内外常用指南,基本全面、完整。


1、新生儿高胆红素光疗标准列线图表




2、新生儿高胆红素换血疗法标准列线图表



曲线解析:


……低危新生儿(≥38周,健康儿);


- - - - - -中度危险新生儿(≥38周+有危险因素或35~376/7周健康儿);


——高危新生儿(35~376/7周+危险因素)


影响新生儿黄疸的高危因素:溶血、窒息、缺氧、酸中毒、脓毒血症、高热、低体温、低蛋白血症、低血糖等。


3、Bhutani 曲线(胎龄≥35周的光疗参考曲线)



4、低体重儿参考图表:



参考文献:

1、Neonatal Jaundice 2010 《NICE:National Institute for Health and Care Excellence》

2、Management of Hyper-bilirubinemia in the Newborn infant 35 or more Weeks of Gestation 2004  《Pediatrics》

3、Neonatal Jaundice 2012 《Queensland Maternity and Neonatal Clinical Guideline》

4、新生儿高胆红素血症诊断和治疗专家共识 2014年《中华儿科杂志》

5、新生儿黄疸诊疗原则的专家共识解读 2010年《中华儿科杂志》

6、《诸福棠实用儿科学》第七版


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    2016-11-25 hylsharon

    应用看看

    0

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    2016-11-21 楚秀娟
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    2016-11-21 cqykthl

    不错,学习中,找原文看看

    0

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    2016-11-21 小树

    很好呀,学习了

    0

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    2016-11-20 komasun

    高胆红素血症

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=158007, encodeId=fcdd15800ecd, content=应用看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=32241985858, createdName=hylsharon, createdTime=Fri Nov 25 05:16:53 CST 2016, time=2016-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1582847, encodeId=2dab158284eea, content=<a href='/topic/show?id=9edb5853543' target=_blank style='color:#2F92EE;'>#新生儿黄疸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58535, encryptionId=9edb5853543, topicName=新生儿黄疸)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=26f816964393, createdName=12498e0fm83暂无昵称, createdTime=Mon Nov 21 13:36:00 CST 2016, time=2016-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1422806, encodeId=fa691422806eb, content=<a href='/topic/show?id=b2361031e6fc' target=_blank style='color:#2F92EE;'>#黄疸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103176, encryptionId=b2361031e6fc, topicName=黄疸)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=28ad3737144, createdName=楚秀娟, createdTime=Mon Nov 21 13:36:00 CST 2016, time=2016-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=157207, encodeId=166715e20770, content=不错,学习中,找原文看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdicLmdJEK9VoiaDianY6fzHNN9iaGv80m39pMHU3eSnNN0kn1o0rdQ7Bz2f03Qibcf1ia7rKvxIt4UVlErF2d4gCmDC5/0, createdBy=98e31740255, createdName=cqykthl, createdTime=Mon Nov 21 08:28:34 CST 2016, time=2016-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=157192, encodeId=78f115e19289, content=很好呀,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151102/IMG563643881070C8786.jpg, createdBy=f4241660247, createdName=小树, createdTime=Mon Nov 21 08:02:24 CST 2016, time=2016-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=157133, encodeId=430f15e13379, content=高胆红素血症, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib0kbzef1jKfxVxKKxoGdVMdMe54JuaABgJlOdkfVdUkxEReXZyZ0PMHhxlzMkiciaPAp2gJsoIbGKtA/0, createdBy=a2d51960177, createdName=komasun, createdTime=Sun Nov 20 21:12:02 CST 2016, time=2016-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=157132, encodeId=be8215e13281, content=新生儿疾病, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib0kbzef1jKfxVxKKxoGdVMdMe54JuaABgJlOdkfVdUkxEReXZyZ0PMHhxlzMkiciaPAp2gJsoIbGKtA/0, createdBy=a2d51960177, createdName=komasun, createdTime=Sun Nov 20 21:11:24 CST 2016, time=2016-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=157084, encodeId=497015e084b5, content=mark备用, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c5661981269, createdName=白衣恶魔, createdTime=Sun Nov 20 14:34:49 CST 2016, time=2016-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=157046, encodeId=b25c15e046f3, content=谢谢,学习一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sun Nov 20 11:06:08 CST 2016, time=2016-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=157041, encodeId=1dff15e041b8, content=好了吗你的了吗你, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44751723931, createdName=zac posen, createdTime=Sun Nov 20 10:48:03 CST 2016, time=2016-11-20, status=1, ipAttribution=)]
    2016-11-20 komasun

    新生儿疾病

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=158007, encodeId=fcdd15800ecd, content=应用看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=32241985858, createdName=hylsharon, createdTime=Fri Nov 25 05:16:53 CST 2016, time=2016-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1582847, encodeId=2dab158284eea, content=<a href='/topic/show?id=9edb5853543' target=_blank style='color:#2F92EE;'>#新生儿黄疸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58535, encryptionId=9edb5853543, topicName=新生儿黄疸)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=26f816964393, createdName=12498e0fm83暂无昵称, createdTime=Mon Nov 21 13:36:00 CST 2016, time=2016-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1422806, encodeId=fa691422806eb, content=<a href='/topic/show?id=b2361031e6fc' target=_blank style='color:#2F92EE;'>#黄疸#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103176, encryptionId=b2361031e6fc, topicName=黄疸)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=28ad3737144, createdName=楚秀娟, createdTime=Mon Nov 21 13:36:00 CST 2016, time=2016-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=157207, encodeId=166715e20770, content=不错,学习中,找原文看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdicLmdJEK9VoiaDianY6fzHNN9iaGv80m39pMHU3eSnNN0kn1o0rdQ7Bz2f03Qibcf1ia7rKvxIt4UVlErF2d4gCmDC5/0, createdBy=98e31740255, createdName=cqykthl, createdTime=Mon Nov 21 08:28:34 CST 2016, time=2016-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=157192, encodeId=78f115e19289, content=很好呀,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151102/IMG563643881070C8786.jpg, createdBy=f4241660247, createdName=小树, createdTime=Mon Nov 21 08:02:24 CST 2016, time=2016-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=157133, encodeId=430f15e13379, content=高胆红素血症, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib0kbzef1jKfxVxKKxoGdVMdMe54JuaABgJlOdkfVdUkxEReXZyZ0PMHhxlzMkiciaPAp2gJsoIbGKtA/0, createdBy=a2d51960177, createdName=komasun, createdTime=Sun Nov 20 21:12:02 CST 2016, time=2016-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=157132, encodeId=be8215e13281, content=新生儿疾病, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib0kbzef1jKfxVxKKxoGdVMdMe54JuaABgJlOdkfVdUkxEReXZyZ0PMHhxlzMkiciaPAp2gJsoIbGKtA/0, createdBy=a2d51960177, createdName=komasun, createdTime=Sun Nov 20 21:11:24 CST 2016, time=2016-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=157084, encodeId=497015e084b5, content=mark备用, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c5661981269, createdName=白衣恶魔, createdTime=Sun Nov 20 14:34:49 CST 2016, time=2016-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=157046, encodeId=b25c15e046f3, content=谢谢,学习一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sun Nov 20 11:06:08 CST 2016, time=2016-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=157041, encodeId=1dff15e041b8, content=好了吗你的了吗你, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44751723931, createdName=zac posen, createdTime=Sun Nov 20 10:48:03 CST 2016, time=2016-11-20, status=1, ipAttribution=)]
    2016-11-20 白衣恶魔

    mark备用

    0

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    2016-11-20 flysky120

    谢谢,学习一下

    0

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    2016-11-20 zac posen

    好了吗你的了吗你

    0

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