Patient's question:
The child was born on May 30, 2006. Weight: 1.6 kilograms. Preterm birth via cesarean section at 34 weeks. After birth, the child was immediately taken to the intensive care unit. Scheduled for discharge on June 12. On June 11, there was an intravenous fluid extravasation, causing subcutaneous tissue necrosis and inflammation. On June 14, intravenous anti-inflammatory treatment began.Doctor's answer:
Bilirubin is metabolized in the liver. However, the liver function of premature infants is usually insufficient. It will be unable to maintain normal serum bilirubin levels. Now the child is almost three months old and is entering the physiological anemia period. At this time, red blood cells are subjected to greater destruction, leading to the natural release of more bilirubin. This further increases serum bilirubin levels, resulting in the child appearing yellow and experiencing jaundice recurrence. Another cause of jaundice in children should be vigilant, which is sepsis. It can also cause red blood cell damage. Elevated alkaline phosphatase is an indicator of infection. Therefore, it is best to rule out sepsis. If sepsis is present, it is necessary to strengthen anti-infection treatment. Additionally, the treatment plan should be adjusted based on the progress of the therapy.