Patient's question:
The child was born on May 30, 2006. Weight: 1.6 kilograms. Preterm delivery 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 necrosis of subcutaneous tissue and inflammation. On June 14, intravenous anti-inflammatory treatment began.Doctor's answer:
Bilirubin is metabolized in the liver, and the liver function of premature infants is usually insufficient, making it unable to maintain normal serum bilirubin levels. Now that the child is almost three months old and entering the physiological anemia period, red blood cells are subjected to greater destruction, leading to the natural release of more bilirubin, which further elevates serum bilirubin levels, resulting in jaundice. Another cause of jaundice in children that should be cautious about is sepsis, which 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, and the treatment should be adjusted according to the progress.