An approach to the management of hyperbilirubinemia in the preterm infant less than 35 weeks of gestation

被引:155
作者
Maisels, M. J. [1 ]
Watchko, J. F. [2 ]
Bhutani, V. K. [3 ]
Stevenson, D. K. [3 ]
机构
[1] Oakland Univ, William Beaumont Sch Med, Dept Pediat, Div Newborn Med,Beaumont Childrens Hosp, Royal Oak, MI 48073 USA
[2] Univ Pittsburgh, Sch Med, Dept Pediat, Div Newborn Med, Pittsburgh, PA 15261 USA
[3] Stanford Univ, Sch Med, Lucile Packard Childrens Hosp, Div Neonatal & Dev Med,Dept Pediat, Stanford, CA 94305 USA
关键词
hyperbilirubinemia; jaundice; phototherapy; exchange transfusion; INTRAVENOUS IMMUNE GLOBULIN; PEAK SERUM BILIRUBIN; BRONZE BABY SYNDROME; EXCHANGE-TRANSFUSION; NEONATAL HYPERBILIRUBINEMIA; NEURODEVELOPMENTAL OUTCOMES; HEMOLYTIC-DISEASE; PHOTOTHERAPY; KERNICTERUS; JAUNDICE;
D O I
10.1038/jp.2012.71
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
We provide an approach to the use of phototherapy and exchange transfusion in the management of hyperbilirubinemia in preterm infants of <35 weeks of gestation. Because there are limited data for evidence-based recommendations, these recommendations are, of necessity, consensus-based. The recommended treatment levels are based on operational thresholds for bilirubin levels and represent those levels beyond which it is assumed that treatment will likely do more good than harm. Long-term follow-up of a large population will be needed to evaluate whether or not these recommendations should he modified. Journal of Perinatology (2012) 32, 660-664; doi:10.1038/jp.2012.71; published online 7 June 2012
引用
收藏
页码:660 / 664
页数:5
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