What are the performance of neonatal jaundice and how to diagnose?
- Filed under: Health&Beauty
- Date: Nov 14,2008
A) history
1 jaundice appears within 24 hours of time to appear together should first consider jaundice hemolytic disease of the newborn will then consider, such as congenital CMV infection; 2 to 3 days to physiological jaundice of the most common ABO hemolytic disease should be the exception; 4 to 7 days Those who of sepsis in order to see more breast milk jaundice; 7 days after the jaundice has pneumonia and neonatal sepsis while biliary atresia breast milk jaundice, and so are likely to
2, the rapid development of neonatal jaundice hemolytic disease of the fastest followed by the hepatitis neonatal sepsis and biliary atresia slow development and long-lasting
3 feces and urine color fecal color or a very young gray color urine were prompted deep neonatal hepatitis or biliary atresia
4 family has a family history of broad bean patients should be given to whether the G6PD deficiency; parents should be the exception of those who have hepatitis C
5 History of the production history of pregnancy (premature rupture of membranes prompted the extension of the middle stage of labor when the infection) before the mother in labor history of drug use and so on
(B) clinical symptoms:
1 physiological jaundice Light yellow light are limited to the face or neck, torso spread scleral also yellow dye faded after 2 to 3 to 5 to 6 skin color back to normal; severe jaundice were the same after leading throughout the whole body should be able to vomit And cerebrospinal fluid, such as yellow dye can be as long as 1 week or more particularly the individual premature infants to 4 weeks of its sustainable manure is still in line with yellow urine bilirubin
2 color of light to Light Jaundice weight to suit the color of skin, but deep rosy red, yellow
3 jaundice parts found in the trunk and sclera but in general the proximal Zhouxi limbs
4 neonatal anemia generally not a good liver and spleen enlargement is not a normal liver function is not a nuclear jaundice
5 premature infants physiological jaundice than full-term infants can be seen slightly delayed 1 ~ 2d appear heavier degree of jaundice subsided later also be extended to 2 to 4 weeks
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