【摘要】母乳性黄疸的临床特点可归纳为:(1)母乳喂养,足月儿多见;(2)在生理性黄疸期内(2d-2周)发生,但不随生理性黄疸的消退儿消退;(3)黄疸程度以轻度(血清胆红素<205umol/L)中度(205-342 umol/L)为主,重度(≥342 umol/L)较少见,并以未结合胆红素升高为主;(4)患儿一般状况良好,生长发育正常,肝脏不大,肝功能正常,HBsAg(-);(5)排除各种引起新生儿黄疸的其他常见原因(如溶血、感染、窒息、先天性胆道畸形、头颅血肿、遗传性葡萄糖醛酸转移酶缺乏症等);(6)停母乳后48-72d黄疸即可明显减轻,如再母乳喂养可有反复,但不会达到原来程度;(7)预后一般良好,至今为止尚未见母乳性黄疸引起胆红素脑病的报告。

    【关键词】母乳;黄疸;诊断;治疗

    Mother’s milk jaundice 98 example clinical analyses

    Zhai Xueling

    【Abstract】The mother’s milk jaundice’s clinical characteristic may induce is: (1) breast feeding, full-term sees; (2) (the 2d-2 week) occurs in the physiology jaundice time, but not along with physiology jaundice’s retrogression retrogression; (3) jaundice degree by mild (blood serum bilirubin <205umol/L) moderate (205-342 umol/L) primarily, specific weight (≥342 umol/L) rare, and by has not unified the bilirubin to elevate primarily; (4) the baby general good shape, the growth is normal, the liver is not big, the liver function is normal, HBsAg (-); (5) removes each kind to cause newborn jaundice’s other common reasons (for example hematolysis, infection, to suffocate, congenital biliary duct to be abnormal, cephalhaematoma, hereditary glycuronic acid transferase deficiency and so on); after (6) stops the mother’s milk, the 48-72d jaundice then obviously reduces, if breast feeding may have the relapse again, but will not achieve the original degree; (7) prognosis general good, until now not yet sees the mother’s milk jaundice to cause the bilirubin brain illness’s report. ......