Patient's question:
When the child was born, there were no symptoms, but a few days later, it was found that the skin was yellow, and subsequently, urine and sweat were also yellow. The color of the stool was particularly yellow, and the child constantly cried and refused to eat. The attending doctor diagnosed it as jaundice. What should be done about neonatal jaundice with a level of over 400?Doctor's answer:
The baby is 4 days old with a bilirubin level of 400, which should be considered severe pathological jaundice. The specific potential sequelae should be evaluated based on the baby's clinical presentation, and blue light therapy should be administered as soon as possible. If there are signs of hyperbilirubinemia encephalopathy, such as poor mental state, convulsions, or fever, it should be cautious about possible sequelae. If the baby has normal mental state and diet after birth, without any mental abnormalities, it should have little impact on future intelligence and development. However, if there are abnormalities in mental state and diet, or even vomiting, it should be closely observed.