Hyperbilirubinemia at Chaoprayayomaraj Hospital in 1991-1995

Abstract

Retrospective studies of 1916 neonatal Hyperbilirubinemia admitted at pediatrics II ward, Chaoprayayomraj hospital from January 1991 to December 1995 (51.13% of total admission). 52 cases (2.71%) of neonatal Hyperbilirubinemia treated with blood exchange transfusion were studied. The patients included 33 male and 19 female neonates with age ranged from 2 days to 7 days. The mean of maximum serum bilirubin was 22.9 mg/dl (Range 16.5-31.5 mg/dl). The most common cause was idiopathic 17 cases (32.69%), followed by G-6-PD dificiency 15 cases (29.85%), ABO Incompatability 11 cases (21.16%), other causes were Septicemia, Polycytemia and Prematurity hypoxia. Most of the neonates received blood exchange transfusion with in the 4^th day (73.08%). Most of them received BET once (44 cases) or twice (6 cases). There was one case that received up to four BET’s whick was G-6-PD dificiency in etiology, ther were 1 septicemia and 8 omphalitis after BET, Kernicterus was not detected in this studies.