Patient's question:
Two days, the body's bilirubin exceeded 400, more than 300 at birth. Previous treatment history and effectiveness: After blue light treatment, bilirubin still increased to 400. What kind of assistance is desired: Understanding the harm this situation can cause to the body and any treatment.Doctor's answer:
Moderate to severe neonatal hyperbilirubinemia can lead to sensory damage, and abnormal brainstem auditory evoked potential treatment includes:1. Phototherapy: The newborn lies naked in a phototherapy box, with their eyes and testicles covered by black cloth. Monochromatic or dual light is used for 24–48 hours. Treatment can be stopped once bilirubin levels drop below 7 mg/dL.
2. Enzyme inducers: Phenobarbital is commonly used. Dosage: 5–6 mg/kg/day.