Patient's question:
My child is now almost two months old, but there is still some yellowing on their face (currently only the face and around the eyes are slightly yellow, while the hands, feet, and eyes are not yellow). They are breastfed, have golden yellow stools, normal urine, and are in good spirits.Yesterday, I took them to the hospital for a check-up. The test results are as follows. Please help the doctor take a look. What could be causing the jaundice in my child, and how should it be treated now? Thank you!
Routine Blood Test
Alanine Aminotransferase (ALT) 11 U/L
Aspartate Aminotransferase (AST) 41 U/L
Doctor's answer:
Hello:1. General treatment: If there are high-risk factors for bilirubin encephalopathy, symptomatic treatment should be given.
2. Enzyme inducers: Phenobarbital 5 mg/(kg·d), administered orally in 3 doses.
3. Inhibiting the hemolytic process: High-dose intravenous immunoglobulin; generally used in the early stage of severe hemolysis, with a dosage of 1 g/kg, infused intravenously over 4–6 hours.
4. Reducing free unconjugated bilirubin: Albumin: Generally used for severe hyperbilirubinemia within the first week of life, with a dosage of 1 g/kg added to 10–20 ml of glucose solution for intravenous infusion; alternatively, plasma can be administered at 25 ml/dose, intravenously once or twice daily. Albumin should be administered 1–2 hours before exchange transfusion.