Indications and related problems of phototherapy intervention for neonatal iaundice
10.3760/cma.j.issn.1673-4408.2012.01.008
- VernacularTitle:新生儿黄疸的光疗干预指征及相关问题
- Author:
Qiang YAO
- Publication Type:Journal Article
- Keywords:
Hyperbilirubinemia;
Newborn;
Kernicterus;
Phototherapy
- From:
International Journal of Pediatrics
2012;39(1):26-29
- CountryChina
- Language:Chinese
-
Abstract:
Neonatal jaundice or hyperbilirubinemia is a common occurrence in newborns.Most cases of neonatal jaundice have a benign course.Hyperbilirubinemia can be best understood as a balance between the production and elimination of bilirubin,with a multitude of factors and conditions affecting each of these processes.When an imbalance results because of an increase in circulating bilirubin ( or the bilirubin load)to significantly high levels( severe hyperbilirubinemia),it may cause permanent neurologic sequelae( kernicterus),which is preventable if the hyperbilirubinemia is identified early and treated appropriately.Phototherapy for jaundice is a common treatment in neonatal medicine and is used to prevent the neurotoxic effects of bilirubin.Phototherapy for hyperbilirubinemia should be based primarily on total serum bilirubin levels of the infant's age in hours and other factors that affect the risk of bilirubin encephalopathy.
