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- W3029148618 abstract "目的 探讨石家庄地区正常足月新生儿血清总胆红素的动态变化,分析影响新生儿高胆红素血症的相关高危围产因素.方法 选取2002年1月至2006年1月在我院产科出生的正常足月新生儿和有产科高危因素的新生儿作为研究对象,应用微量胆红素测定仪测定各研究对象生后7 d内不同时间点的末梢血总胆红素水平并分析各围产因素对新生儿黄疸的影响. 结果 末梢血总胆红素于生后108 h达峰值,平均为(266.6±92.9)μmol/L,第95百分位数为317.5μmol/L,随后胆红素水平缓慢下降.剖宫产、母分娩应用催产素、开奶时间延迟、首次胎粪排出延迟、红细胞增多症、低血糖者末梢血总胆红素峰值显著高于对照组(P均＜0.05);宫内窘迫史、A13gar评分异常、体内出血、使用抗生素等围产因素对血清胆红素水平无明显影响(P均＞0.05).结论 河北地区正常足月新生儿总胆红素峰值明显高于生理性黄疸高限;严格掌握剖宫产指征,减少催产素的应用,早期喂养,及时处理新生儿胎粪排出延迟、红细胞增多症和低血糖,也许可以有效地减少新生儿高胆红素血症的发生。" @default.
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- W3029148618 date "2007-09-16" @default.
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- W3029148618 title "Dynamic measurement on hour-specific total serum bilirubin of healthy term newborns during the first postnatal week" @default.
- W3029148618 doi "https://doi.org/10.3760/cma.j.issn.1007-9408.2007.05.006" @default.
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