Question
What are the characteristic symptoms of a newborn with severe jaundice and suspected macrophage infection? The following are the results of related tests: serum total protein 46g/L, albumin 32g/L, globulin 14g/L, alanine aminotransferase 86U/L, indirect bilirubin 259μmol/L, total bilirubin 264μmol/L, platelet count 321×10^9/L, lymphocyte count 4.5×10^9/L, lymphocyte ratio 54.3%, mean corpuscular hemoglobin concentration 36.8pg, mean corpuscular volume 83.9fL.
Answer
Based on the provided test data, the jaundice symptoms in this newborn are quite pronounced and may require further attention. The nature of jaundice, the baby’s constitution, and the measures for treatment and care all affect the progression of the disease. While jaundice can take different forms such as yang jaundice, yin jaundice, and acute jaundice, each with varying severity and characteristics, they may transform under certain conditions. Treatment for such conditions usually includes surgery and phototherapy. If the serum indirect bilirubin is below 20mg/dl (342μmol/L), surgery may be considered. The blood donor must undergo a G6PD deficiency screening to ensure there is no G6PD deficiency to avoid hemolytic reactions after surgery. Wishing your child a speedy recovery.