新生儿黄疸规范化用药指导专家建议
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[摘要] 新生儿黄疸是新生儿期常见的黄疸性疾病，分为生理性黄疸和病理性黄疸。因胆红素在体内积聚而出现皮肤、黏膜和巩膜黄染。尽管大多数新生儿黄疸预后良好，但部分严重者可发生胆红素脑病，造成永久性神经损害或终身残疾，甚至危及生命。新生儿黄疸的治疗手段包括光疗、换血和药物等，为了规范和指导基层医疗单位使用药物，本文从治疗原则、药物应用及特殊疗法等方面阐述规范化用药。
[关键词] 新生儿;黄疸;胆红素;药物;治疗
[中图分类号] R722.1 [文献标识码] A [文章编号] 1673-7210（2019）09（c）-0105-06
Expert suggestions on standardized medication guidance for neonatal jaundice
Expert Recommendation Group for Standardized Medication Guidance of Neonatal Jaundice
[Abstract] Neonatal jaundice is a common jaundice disease in the neonatal period， which is divided into physiological jaundice and pathological jaundice. There is stained yellow skin， mucosa and sclera due to the bilirubin accumulation. What is worse， a part of severe cases may result in bilirubin encephalopathy， permanent neurological damage and disability， or even death， even though most prognosis of neonatal jaundice is well. The treatment of neonatal jaundice includes phototherapy， exchange transfusion and drugs， in order to standardize and guide the use of drugs in primary medical units， this paper makes an expatiation on programmed drugs administration based on principles of treatment， drug application， special therapy， etc.
[Key words] Neonates; Jaundice; Bilirubin; Drugs; Treatment
黄疸是新生儿期常见表现，大多在出生后2～3 d出现，4～6 d为高峰期，大部分为生理性过程，少数可发展为高胆红素血症，严重者可导致急性胆红素脑病及核黄疸，造...
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