신생아의 병적황달에 대한 임상혈액학적 고찰 = Clinical and Hematological Observation of Pathological Jaundice in Neonatal Period

다국어 초록 (Multilingual Abstract)

A clinical and hematological observation was performed on 398 nowborn infants with hyperbilirubinemia who were admitted 10 the Department of Pediatrics, Chosun University Hospital from January, 1980 ro June, 1985.
The following results were obtained
1) The incidence of hyperbilirubinemia was more frequent in male(63.8%) than in female(36.2%)
2) In the observation of the gestational period, its incidence was highest in full-term neonate(70%) and the next was pre-term neonate (25%)
3) In the observation of the delivery type, the incidence was highest in neonates with normal delivery(82.0%) and the next was c-section delivery (11.0%)
4) Idiopathic hyperbilirubinemia was the most common cause of pathological hyperbilirubinemia and the next wero breast-fed induced jaundice(10.4%), infection(9.3%), blood incompatibility(8.6%) in frequent of order.
5) The most common blood types of mother-baby in ABO blood incompatibility was 0-A (48.5%) and the next was O-B(42.5%)
6) The exchange transfusion were performed on 34 cases(8.5%).
The mean serum bilirubin levels before exchange transfusion were 26.7±4.9㎎% in the cases of idiopathic hyperbilirubinemia(14 cases) and 25.9±6.5㎎% in the cases of blood incompatibility (17 cases).
7) The mean bilirubin levels before and after the exchange transfusion were 26.4㎎% and 11.9㎎% respectively and reducing rate of the bilirubin by exchange transfusion was 55%. Second exchange transfusion was performed in 2 cases(5.8%).