Effect of Phototherapy on Hepatic Area in Neonatal Hyperbilirubinemia

新生兒高膽紅素血症肝領域光線治療之效果

張玉春(Yu-Chung Chang) ； 林洪芳(Hon-Fan Lin) ； 蕭柳青(Liu-Ching Shiao)

《Acta Paediatrica Sinica》 23卷4期 (1982/12) Pp. 225-228

摘要

1978年Rubaltelli等發現對新生兒高膽紅素血症施行光線治療時，若遮蔽肝領域，其血清膽紅素濃度之減低速度比較緩慢，所以主張肝臟為光化學作用部位之一。可惜他們的實驗僅以裸露的新生兒做為對照羣。著者等就在仁濟醫院生產的42位足月健康新生見，生後96小時內發生非溶血性高膽紅素血症者分為兩羣，一羣施行光線治療時以180mm長、100mm寬、1.5mm厚的黑色皮革遮蔽肝領域，另一羣以同樣的皮革遮蔽左側胸廓下部做為對照羣。雨羣經過48小時間歇光線治療後，其血清膽紅素減低程度尚未有明顯差異。所以我們認為Rubaltelli等之實驗結果，應歸於光線照射面積之減少而非由於遮蔽肝領域減低肝之光化學作用。

並列摘要

Two groups of neonates with nonhemolytic hyperbilirubinemia were subjected to phototherapy, one group with a piece of leather shielded over the hepatic area during phototherapy while the other group over the left lower thorax. The total light energy exposures on the skin in both groups were almost the same. The 48-hour decrements in serum bilirubin levels in the two groups were statistically very close. Therefore, it is difficult to say with the results of this study that the liver could, in ordinary circumstances of phototherapy, be a phototherapeutic action site.

並列關鍵字

neonatal hyperbilirubinemia ； phototherapy