Question
The baby is 23 days old. The jaundice has not subsided. There are no surgical indications. Conservative treatment is being administered. Vital signs are stable. No weight gain. Total bilirubin level is 171.46 μmol/L, direct bilirubin level is 52.98 μmol/L, and indirect bilirubin level is 118.48 μmol/L.
Answer
Jaundice is a common symptom and sign of the neonatal period, occurring due to elevated serum bilirubin levels caused by disordered bilirubin metabolism or excessive production. Clinically, the conjunctiva, mucous membranes, skin, and other tissues become yellowish. Guidance: Physiological jaundice in full-term infants does not exceed 221 days. The current duration does not exceed 14 days. Your child’s condition is pathological jaundice. Jaundice usually does not affect eating and playing. It is recommended to use blue light therapy as the best treatment method. In addition, liver and gallbladder ultrasound and liver function tests can help with diagnosis and treatment.