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 palms, soles, 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 is the cause of 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 provided.
2. Enzyme inducers: Phenobarbital 5 mg/(kg·d), administered orally in 3 divided 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 after birth, with a dosage of 1 g/kg added to 10–20 ml of dextrose solution for intravenous infusion; alternatively, plasma 25 ml/each time can be infused intravenously once daily or twice daily. Albumin should be administered 1–2 hours before exchange transfusion.