The most important steps of bilirubin metabolism involved in the pathophysiology of neonatal hyperbilirubinemia are: 1) hemoglobin degradation by heme oxygenase; 2) bilirubin binding to serum albumin; 3) bilirubin conjugation to acid glucoronic by glucoronyl transferase. Progresse in the knowledge of these metabolic steps allows to understanding of why massive hemolysis, infections, hypoxia and prematurity increase the risk of kernicterus and therefore justify adapted preventive and therapeutic measures. (C) 1998 Elsevier, Paris.
机构:
Stanford Univ, Sch Med, Dept Pediat, Div Neonatal & Dev Med, Stanford, CA 94304 USAStanford Univ, Sch Med, Dept Pediat, Div Neonatal & Dev Med, Stanford, CA 94304 USA
Bhutani, V. K.
Johnson, L.
论文数: 0引用数: 0
h-index: 0
机构:
Penn Ctr Kernicterus, Philadelphia, PA USAStanford Univ, Sch Med, Dept Pediat, Div Neonatal & Dev Med, Stanford, CA 94304 USA
机构:
Duke Univ, Sch Med, Dept Family Med & Community Hlth, Durham, NC USADuke Univ, Sch Med, Dept Family Med & Community Hlth, Durham, NC USA
Par, Emma J.
Hughes, Chase A.
论文数: 0引用数: 0
h-index: 0
机构:
Uniformed Serv Univ Hlth Sci, Dept Family Med, Bethesda, MD USADuke Univ, Sch Med, Dept Family Med & Community Hlth, Durham, NC USA
Hughes, Chase A.
DeRico, Pierce
论文数: 0引用数: 0
h-index: 0
机构:
Naval Hosp Camp Pendleton, Family Med Residency Program, Camp Pendleton, CA USADuke Univ, Sch Med, Dept Family Med & Community Hlth, Durham, NC USA
机构:
Stanford Univ, Sch Med, Dept Pediat, Div Neonatal & Dev Med, Stanford, CA 94304 USAStanford Univ, Sch Med, Dept Pediat, Div Neonatal & Dev Med, Stanford, CA 94304 USA
Bhutani, V. K.
Johnson, L.
论文数: 0引用数: 0
h-index: 0
机构:
Penn Ctr Kernicterus, Philadelphia, PA USAStanford Univ, Sch Med, Dept Pediat, Div Neonatal & Dev Med, Stanford, CA 94304 USA
机构:
Duke Univ, Sch Med, Dept Family Med & Community Hlth, Durham, NC USADuke Univ, Sch Med, Dept Family Med & Community Hlth, Durham, NC USA
Par, Emma J.
Hughes, Chase A.
论文数: 0引用数: 0
h-index: 0
机构:
Uniformed Serv Univ Hlth Sci, Dept Family Med, Bethesda, MD USADuke Univ, Sch Med, Dept Family Med & Community Hlth, Durham, NC USA
Hughes, Chase A.
DeRico, Pierce
论文数: 0引用数: 0
h-index: 0
机构:
Naval Hosp Camp Pendleton, Family Med Residency Program, Camp Pendleton, CA USADuke Univ, Sch Med, Dept Family Med & Community Hlth, Durham, NC USA