Does the jaundice index above 200 need blue light? Generally, in neonatal period, bilirubin metabolism is abnormal, and bilirubin level in blood is increased, which is generally divided into pathological jaundice and physiological jaundice. Physiological jaundice naturally subsided after 7- 14 days after birth, and there was no adverse reaction. In addition, if it is pathological jaundice, it will appear within 24 hours after birth. After 2-3 weeks of birth, jaundice still persists, especially the blood bilirubin is higher than 200μmol/L, which is a serious jaundice and needs blue light treatment. You must go to the hospital for pediatric treatment. Percutaneous bilirubin determination shows that the therapeutic effect is generally better. In addition, oral glucose can also be given to children.
When the serum bilirubin is more than 255μmol/L( 15.0mg/dl), further treatment is needed, that is, blue light is used. In China, as long as full-term infants are less than 204μmol/L( 12mg/dl), it is normal physiological jaundice. In fact, about 10 years ago, foreign research reports pointed out that if the serum bilirubin of exclusive breastfeeding was greater than 300 μ mol/L (17.5 mg/DL); When the serum bilirubin fed with formula milk is more than 255μmol/L( 15.0mg/dl), further treatment is needed. 20 14 even pointed out that newborns need treatment when their serum bilirubin exceeds 306μmol/L( 18mg/dl) four days after birth. Therefore, if the baby's jaundice value is lower than 15, there is no need for blue light treatment. Whether children with jaundice need blue light therapy should be analyzed in detail;
1, premature infants: bilirubin concentration within 24 hours >; 6mg/dl, need phototherapy;
2. Full-term infants: bilirubin concentration within 24-48 hours after birth >; 15mg/dl, needing phototherapy;
3. High-risk newborns: If there are emergency symptoms such as neonatal asphyxia, the indications for phototherapy can be relaxed;
4. Hemolytic disease of newborn: phototherapy should be continued after blood exchange to prevent bilirubin from rising.
How many days does it take for jaundice 19.9 to shoot blue light? If the baby's percutaneous jaundice value is 19.9mg/ dl, the converted serum total bilirubin value is about 340 micromole/l. This situation belongs to jaundice and belongs to pathological jaundice. If indirect bilirubin elevation is the main factor, it is suggested that blue light therapy can be given. During the blue light treatment, it usually takes one to four days, and the specific days need to be determined according to the degree of jaundice reduction after the baby receives blue light irradiation. For example, if the baby's jaundice subsides faster, the days may be slightly shorter.
After the baby is exposed to blue light, it is necessary to review the bilirubin index. If it falls to the basic normal range, you can leave the hospital for observation. However, if the baby's jaundice is not ideal, the blue light irradiation time can be appropriately extended. Jaundice value 19.9 is relatively high, which is easy to cause bilirubin encephalopathy and affect children's intellectual and physical development. If you need to go to the hospital for neonatal treatment, you should take blue light irradiation combined with oral yellowing drugs. There is no standard for blue light for several days, depending on the condition. Let children get more sunshine and review regularly. Be sure to reduce the jaundice value to the normal range.