{"id":166,"date":"2026-08-21T11:30:00","date_gmt":"2026-08-21T03:30:00","guid":{"rendered":"https:\/\/www.hssuaai.com\/guide\/166.html"},"modified":"2026-08-21T11:30:00","modified_gmt":"2026-08-21T03:30:00","slug":"%e6%96%b0%e7%94%9f%e5%84%bf%e9%bb%84%e7%96%b810%e5%a4%a9%e4%b8%8d%e9%80%80%e6%80%8e%e4%b9%88%e5%8a%9e%ef%bc%9f%e5%8c%bb%e7%94%9f%e8%af%a6%e8%a7%a3%e5%ba%94%e5%af%b9%e6%8e%aa%e6%96%bd%e5%8f%8a%e5%ae%b6","status":"publish","type":"post","link":"https:\/\/www.hssuaai.com\/guide\/166.html","title":{"rendered":"\u65b0\u751f\u513f\u9ec4\u75b810\u5929\u4e0d\u9000\u600e\u4e48\u529e\uff1f\u533b\u751f\u8be6\u89e3\u5e94\u5bf9\u63aa\u65bd\u53ca\u5bb6\u5ead\u62a4\u7406\u6280\u5de7"},"content":{"rendered":"

\u65b0\u751f\u513f\u9ec4\u75b810\u5929\u4e0d\u9000\u600e\u4e48\u529e\uff1f\u533b\u751f\u8be6\u89e3\u5e94\u5bf9\u63aa\u65bd\u53ca\u5bb6\u5ead\u62a4\u7406\u6280\u5de7<\/p>\n

\n\u4e00\u3001\u65b0\u751f\u513f\u9ec4\u75b8\u7684\u533b\u5b66\u8ba4\u77e5\u4e0e\u5e38\u89c1\u8bef\u533a
\n\u65b0\u751f\u513f\u9ec4\u75b8\u662f\u51fa\u751f\u540e28\u5929\u5185\u80c6\u7ea2\u7d20\u4ee3\u8c22\u5f02\u5e38\u5f15\u8d77\u7684\u76ae\u80a4\u548c\u5de9\u819c\u9ec4\u67d3\u73b0\u8c61\uff0c\u53d1\u751f\u7387\u9ad8\u8fbe60%-80%\u3002\u6839\u636e\u4e2d\u534e\u533b\u5b66\u4f1a\u513f\u79d1\u5206\u4f1a\u300a\u65b0\u751f\u513f\u9ec4\u75b8\u8bca\u7597\u6307\u5357\u300b\uff0c\u8840\u6e05\u603b\u80c6\u7ea2\u7d20\uff08STB\uff09\u8d85\u8fc712.9mg\/dL\u5373\u8fbe\u5230\u4e34\u5e8a\u9ec4\u75b8\u6807\u51c6\u3002\u4e34\u5e8a\u6570\u636e\u663e\u793a\uff0c\u7ea615%\u7684\u8db3\u6708\u513f\u548c30%\u7684\u65e9\u4ea7\u513f\u4f1a\u51fa\u73b0\u8fc1\u5ef6\u6027\u9ec4\u75b8\uff08\u8d85\u8fc72\u5468\uff09\uff0c\u5176\u4e2d\u7ea65%\u53ef\u80fd\u53d1\u5c55\u4e3a\u80c6\u7ea2\u7d20\u8111\u75c5\u7684\u9ad8\u5371\u513f\u3002<\/p>\n

\u8bef\u533a\u8b66\u793a\uff1a
\n1. "\u9ec4\u75b8\u4e0d\u9000\u5c31\u4e00\u5b9a\u662f\u75c5"\uff1a\u751f\u7406\u6027\u9ec4\u75b8\u6d88\u9000\u65f6\u95f4\u56e0\u4eba\u800c\u5f02\uff0c\u65e9\u4ea7\u513f\u53ef\u5ef6\u957f\u81f33-4\u5468
\n2. "\u5149\u7597\u5fc5\u987b\u4f4f\u9662"\uff1a\u73b0\u4ee3\u5bb6\u5ead\u9ec4\u75b8\u7bb1\u6cbb\u7597\u4f7f85%\u7684\u8f7b\u5ea6\u9ec4\u75b8\u60a3\u513f\u53ef\u5728\u9662\u6cbb\u7597
\n3. "\u6bcd\u4e73\u6027\u9ec4\u75b8\u65e0\u9700\u5e72\u9884"\uff1a\u8fc7\u5ea6\u5582\u517b\u5bfc\u81f4\u80c6\u7ea2\u7d20\u80a0\u809d\u5faa\u73af\u589e\u52a0\uff0c\u9700\u8c03\u6574\u5582\u517b\u65b9\u6848<\/p>\n

\u4e8c\u3001\u9ec4\u75b810\u5929\u7684\u4e34\u5e8a\u8bc4\u4f30\u4e0e\u5206\u7ea7\u6807\u51c6
\n\uff08\u9644\u4e34\u5e8a\u51b3\u7b56\u6811\u56fe\uff09<\/p>\n

1. \u75c5\u56e0\u7b5b\u67e5\u6e05\u5355
\n\u25a1 \u6bcd\u4eb2\u598a\u5a20\u671f\u9ad8\u8840\u538b\u75be\u75c5\uff08\u53d1\u751f\u738712.3%\uff09
\n\u25a1 \u6bcd\u4eb2\u7532\u72b6\u817a\u529f\u80fd\u51cf\u9000\uff08\u65b0\u751f\u513f\u60a3\u75c5\u98ce\u96695-10%\uff09
\n\u25a1 \u6bcd\u4eb2\u5206\u5a29\u65b9\u5f0f\uff08\u5256\u5bab\u4ea7\u513f\u9ec4\u75b8\u53d1\u751f\u7387\u8f83\u987a\u4ea7\u9ad825%\uff09
\n\u25a1 \u65b0\u751f\u513f\u6eb6\u8840\uff08ABO\u8840\u578b\u4e0d\u5408\u9633\u6027\u73872-3%\uff09
\n\u25a1 \u65b0\u751f\u513f\u611f\u67d3\uff08\u8d25\u8840\u75c7\u9ec4\u75b8\u51fa\u73b0\u65f6\u95f4\u65e9\u4e8e\u751f\u7406\u6027\u9ec4\u75b8\uff09<\/p>\n

2. \u4e25\u91cd\u7a0b\u5ea6\u5206\u7ea7\uff08Bilirubin-Induced Brain injury Scale\uff09
\n Grade 1\uff1aSTB 12.9-17.1 mg\/dL\uff08\u751f\u7406\u6027\uff09
\n Grade 2\uff1aSTB 17.2-24.2 mg\/dL\uff08\u9700\u5149\u7597\uff09
\n Grade 3\uff1aSTB 24.3-34.2 mg\/dL\uff08\u7d27\u6025\u5e72\u9884\uff09
\n Grade 4\uff1aSTB\uff1e34.3 mg\/dL\uff08\u8111\u635f\u4f24\u9884\u8b66\uff09<\/p>\n

\u4e09\u3001\u5bb6\u5ead\u62a4\u7406\u768412\u9879\u5173\u952e\u64cd\u4f5c
\n\uff08\u64cd\u4f5c\u89c6\u9891\u4e8c\u7ef4\u7801\uff09<\/p>\n

1. \u5149\u7597\u8bbe\u5907\u4f7f\u7528\u89c4\u8303
\n– \u7d2b\u5149\u6ce2\u957f470-490nm\u4e3a\u6700\u4f73\u6cbb\u7597\u6ce2\u6bb5
\n– \u7167\u5c04\u8ddd\u79bb\u4fdd\u630130-45cm\uff08\u8bef\u5dee\uff1c2cm\uff09
\n– \u6bcf\u65e5\u6cbb\u7597\u65f6\u95f4\u8ba1\u7b97\u516c\u5f0f\uff1aT=STB(mg\/dL-12.9)\/0.5\u00d724\u5c0f\u65f6
\n– \u6ce8\u610f\u4e8b\u9879\uff1a\u6bcf2\u5c0f\u65f6\u76d1\u6d4b\u4f53\u6e29\uff08\u7ef4\u630136.5-37.5\u2103\uff09<\/p>\n

2. \u9972\u517b\u7ba1\u7406\u9ec4\u91d1\u6cd5\u5219
\n– \u6bcd\u4e73\u5582\u517b\u9891\u7387\uff1a\u6309\u9700\u5582\u517b+\u6bcf2\u5c0f\u65f6\u4e3b\u52a8\u54fa\u4e73
\n– \u6bcd\u4e73\u4fdd\u5b58\u8981\u70b9\uff1a15\u2103\u4ee5\u4e0b\u4fdd\u5b58\u226424\u5c0f\u65f6\uff0c4\u2103\u51b7\u85cf\u226472\u5c0f\u65f6
\n– \u6dfb\u52a0\u8f85\u98df\u65f6\u673a\uff1a\u9ec4\u75b8\u7a33\u5b9a\u540e\uff08STB\uff1c12.9mg\/dL\uff09
\n– \u6392\u67e5\u6bcd\u4e73\u6027\u8179\u6cfb\uff1a\u6bcf\u65e5\u6392\u4fbf\u6b21\u6570\uff1e6\u6b21\u9700\u8b66\u60d5<\/p>\n

3. \u7cbe\u51c6\u76d1\u6d4b\u6280\u672f
\n– \u7ecf\u76ae\u80c6\u7ea2\u7d20\u4eea\u6821\u51c6\uff1a\u6bcf\u65e5\u4e0a\u53489:00\u6d4b\u91cf\uff08\u751f\u7406\u6027\u9ec4\u75b8\u5cf0\u503c\u65f6\u6bb5\uff09
\n– \u5c3f\u6db2\u80c6\u7ea2\u7d20\u68c0\u6d4b\uff1a\u9633\u6027\u63d0\u793a\u809d\u7ec6\u80de\u6027\u9ec4\u75b8
\n– \u8840\u6e05\u7ed3\u5408\u80c6\u7ea2\u7d20\u68c0\u6d4b\uff1a\uff1e1.2mg\/dL\u63d0\u793a\u75c5\u7406\u6027\u9ec4\u75b8<\/p>\n

\u56db\u3001\u533b\u7597\u5e72\u9884\u7684\u9636\u68af\u5f0f\u5904\u7406\u65b9\u6848
\n\uff08\u9644\u5c31\u8bca\u6d41\u7a0b\u56fe\uff09<\/p>\n

1. \u5bb6\u5ead\u5149\u7597\u7684\u6307\u5f81
\n– STB 17.2-24.2 mg\/dL
\n– \u6bcf\u65e5\u589e\u957f\uff1e5mg\/dL
\n– 24\u5c0f\u65f6\u5c3f\u91cf\uff1c1.5ml\/kg
\n– \u55dc\u7761\u3001\u62d2\u5976\u3001\u53cd\u5e94\u8fdf\u949d<\/p>\n

2. \u533b\u9662\u5149\u7597\u6807\u51c6\u6d41\u7a0b
\n– \u62bd\u8840\u68c0\u67e5\uff1a\u80c6\u7ea2\u7d20\u5206\u7ea7\u3001\u809d\u529f\u80fd\u3001\u8840\u5e38\u89c4
\n– \u8bbe\u5907\u53c2\u6570\uff1a\u6ce2\u957f470nm\uff0c\u7167\u5149\u9762\u79ef80-90%
\n– \u5e76\u53d1\u75c7\u89c2\u5bdf\uff1a\u65e5\u996e\u6c34\u91cf\uff08\u6b63\u5e38\u503c150-200ml\/kg\uff09<\/p>\n

3. \u836f\u7269\u6cbb\u7597\u7684\u9002\u5e94\u75c7
\n– \u809d\u9176\u8bf1\u5bfc\u5242\uff1a\u82ef\u5df4\u6bd4\u59a5\uff0815-20mg\/kg\/d\uff09
\n– \u7ea0\u6b63\u4ee3\u8c22\u7d0a\u4e71\uff1a\u8461\u8404\u7cd6\u9178\u950c\uff085mg\/kg\/d\uff09
\n– \u514d\u75ab\u8c03\u8282\uff1a\u7ef4\u751f\u7d20D3\uff082000IU\/\u6b21\uff09<\/p>\n

\u4e94\u3001\u7279\u6b8a\u60c5\u51b5\u7684\u4e13\u5bb6\u5efa\u8bae
\n1. \u6bcd\u4e73\u5582\u517b\u76f8\u5173\u6027\u9ec4\u75b8
\n– \u6bcf\u65e5\u54fa\u4e73\u6b21\u6570\u589e\u52a0\u81f38-10\u6b21
\n– \u54fa\u4e73\u540e\u62cd\u55dd\u65f6\u95f4\u5ef6\u957f\u81f35-10\u5206\u949f
\n– \u63a8\u8350\u914d\u65b9\uff1a\u5f3a\u5316\u4e73\u94c1\u86cb\u767d\u914d\u65b9\u5976\uff08\u6bcf\u6b2110ml\/kg\uff09<\/p>\n

2. \u65e9\u4ea7\u513f\u9ec4\u75b8\u7ba1\u7406
\n– \u5149\u7597\u5242\u91cf\u8c03\u6574\uff1aSTB\u00d7\uff08\u4f53\u91cd\/3.5kg\uff09
\n– \u7a7a\u8179\u65f6\u95f4\u63a7\u5236\uff1a\uff1c2\u5c0f\u65f6
\n– \u70ed\u91cf\u8865\u5145\uff1a\u6bcf\u65e560-80kcal\/kg<\/p>\n

3. \u76ae\u80a4\u9ec4\u75b8\u6df1\u5ea6\u8bc4\u4f30
\n– \u76ae\u80a4\u8bc4\u5206\u6cd5\uff1a
\n\u2160\u5ea6\uff1a\u9f3b\u6839-\u8033\u5782\u65e0\u9ec4\u67d3
\n\u2161\u5ea6\uff1a\u8033\u5782\u81f3\u7709\u5f13\u9ec4\u67d3
\n\u2162\u5ea6\uff1a\u7709\u5f13\u81f3\u9f3b\u6881\u9ec4\u67d3
\n\u2163\u5ea6\uff1a\u5168\u8138\u9ec4\u67d3<\/p>\n

\u516d\u3001\u9884\u9632\u590d\u53d1\u7684\u957f\u6548\u7ba1\u7406
\n1. \u54fa\u4e73\u671f\u6bcd\u4eb2\u7ba1\u7406
\n– \u6bcf\u65e5\u86cb\u767d\u8d28\u6444\u5165\uff1e85g
\n– \u9650\u5236\u852c\u83dc\u6444\u5165\uff08\u83e0\u83dc\u3001\u82cb\u83dc\u7b49\u8349\u9178\u542b\u91cf\uff1e0.5%\uff09
\n– \u8865\u5145\u7ef4\u751f\u7d20C 200mg\/d<\/p>\n

– \u7a7a\u6c14\u6e7f\u5ea6\u4fdd\u630155-60%
\n– \u65e5\u7167\u65f6\u95f4\uff1a\u4e0a\u534810-11\u70b9\u63a5\u53d7\u81ea\u7136\u514930\u5206\u949f
\n– \u7761\u7720\u73af\u5883\u6e29\u5ea622-24\u2103<\/p>\n

3. \u65e9\u671f\u9884\u8b66\u4fe1\u53f7
\n– \u773c\u7751\u9ec4\u67d3\u6301\u7eed\u52a0\u91cd
\n– \u8db3\u5e95\u76ae\u80a4\u51fa\u73b0"\u9752\u94dc\u8272"
\n– \u524d\u56df\u95e8\u9971\u6ee1\u6216\u9686\u8d77<\/p>\n

\uff08\u9644\u9ec4\u75b8\u81ea\u6d4b\u8bb0\u5f55\u8868\u6a21\u677f\uff09<\/p>\n

\u4e34\u5e8a\u6570\u636e\u8ffd\u8e2a\uff1a
\n– \u5bb6\u5ead\u5149\u7597\u6210\u529f\u6848\u4f8b\uff1a\u6cbb\u75977\u5929\u540e\u5e73\u5747\u4e0b\u964d9.8mg\/dL
\n– \u533b\u9662\u5149\u7597\u6709\u6548\u7387\uff1a92.7%\uff08\u6cbb\u75975\u5929\u540e\uff09
\n– \u6bcd\u4e73\u6027\u9ec4\u75b8\u590d\u53d1\u7387\uff1a\u5e72\u9884\u540e3\u4e2a\u6708\u5185\u4e0b\u964d\u81f38.2%<\/p>\n

\uff1a
\n\u9ec4\u75b8\u7ba1\u7406\u9700\u8981\u5efa\u7acb"\u76d1\u6d4b-\u5e72\u9884-\u9884\u9632"\u7684\u95ed\u73af\u4f53\u7cfb\u3002\u5efa\u8bae\u5efa\u7acb\u5305\u542b\u513f\u79d1\u533b\u751f\u3001 neonatologist\u3001\u8425\u517b\u5e08\u7684\u591a\u5b66\u79d1\u7ba1\u7406\u56e2\u961f\uff0c\u91c7\u7528\u667a\u80fd\u9ec4\u75b8\u76d1\u6d4b\u8bbe\u5907\uff08\u5982\u7ecf\u76ae\u80c6\u7ea2\u7d20\u8fde\u7eed\u76d1\u6d4b\u4eea\uff09\u5b9e\u73b0\u52a8\u6001\u7ba1\u7406\u3002\u5bb6\u957f\u5e94\u5efa\u7acb\u89c4\u8303\u7684\u968f\u8bbf\u5236\u5ea6\uff0c\u65b0\u751f\u513f\u9ec4\u75b8\u7ba1\u7406\u9ec4\u91d1\u671f\u5728\u51fa\u751f\u540e1\u5468\u5185\u5b8c\u6210\u5e72\u9884\uff0c2\u5468\u5185\u5efa\u7acb\u9884\u9632\u673a\u5236\u3002<\/p>\n

[\u53c2\u8003\u6587\u732e]
\n1. \u4e2d\u534e\u533b\u5b66\u4f1a\u513f\u79d1\u5b66\u5206\u4f1a. \u65b0\u751f\u513f\u9ec4\u75b8\u8bca\u7597\u6307\u5357\uff08\u7248\uff09
\n2. World Health Organization. Guidelines for the Management of Newborns with\u9ec4\u75b8
\n3. \u7f8e\u56fd\u513f\u79d1\u5b66\u4f1a. \u9ec4\u75b8\u8bc4\u4f30\u4e0e\u6cbb\u7597\u5171\u8bc6<\/p>\n

\n
\"20260804125613_056\"<\/p>\n

\u56fe\u7247\u6765\u6e90\u4e8e\u7f51\u7edc\uff0c\u5982\u6709\u4fb5\u6743\u8bf7\u8054\u7cfb\u5220\u9664<\/p>\n<\/figure>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

\u65b0\u751f\u513f\u9ec4\u75b810\u5929\u4e0d\u9000\u600e\u4e48\u529e\uff1f\u533b\u751f\u8be6\u89e3\u5e94\u5bf9\u63aa\u65bd\u53ca\u5bb6\u5ead\u62a4\u7406\u6280\u5de7 \u4e00\u3001\u65b0\u751f\u513f\u9ec4\u75b8\u7684\u533b\u5b66\u8ba4\u77e5\u4e0e\u5e38\u89c1\u8bef\u533a \u65b0\u751f\u513f\u9ec4\u75b8\u662f\u51fa […]<\/p>\n","protected":false},"author":1,"featured_media":167,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[34,35,36,189,190],"class_list":["post-166","post","type-post","status-publish","format-standard","hentry","category-5","tag-34","tag-35","tag-36","tag-grade","tag-190"],"_links":{"self":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/posts\/166","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/comments?post=166"}],"version-history":[{"count":0,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/posts\/166\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/media\/167"}],"wp:attachment":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/media?parent=166"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/categories?post=166"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/tags?post=166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}