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目的探讨婴儿黄疸与HIE(缺氧缺血性脑病)的关系。方法收集1993～2013年小婴儿黄疸(0～3个月)病例,进行回顾性分析。结果通过对黄疸病因的探讨,发现有婴儿黄疸伴HIE者明显高于无婴儿黄疸伴HIE者。二者有显著差异且黄疸越重持续时间越长,HIE发生的比例越高。结论黄疸的原因主要与缺氧有关,多是宫内慢性缺氧所致。有婴儿黄疸即要询问婴儿是否有宫内窘迫史。不可忽略HIE的诊断。
Objective To investigate the relationship between infant jaundice and HIE (hypoxic-ischemic encephalopathy). Methods Small infants jaundice (0 ~ 3 months) from 1993 to 2013 were collected for retrospective analysis. Results Through the discussion of the etiology of jaundice, it was found that infants with jaundice and HIE were significantly higher than those without infantile jaundice and HIE. Significant differences between the two and jaundice longer duration of heavier, the higher the incidence of HIE. Conclusion The main cause of jaundice is related to hypoxia, mostly due to intrauterine chronic hypoxia. Have a baby jaundice to ask if the baby has a history of intrauterine distress. Do not ignore the diagnosis of HIE.