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Wysłany: Pią 11:42, 11 Mar 2011 Temat postu: mbt zapatos Neonatal hyperbilirubinemia auditory e |
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Neonatal hyperbilirubinemia auditory evoked potential clinical significance
Cases TBIL <257umol / L. The test was moderately abnormal BAEP changes of the 2 cases of children had fever, positive blood culture. That bilirubin levels on the nervous system is not the only factor. Infection may increase blood-brain barrier permeability, so the clinical infection caused by hyperbilirubinemia should actively control the infection. Another 1 case TBIL to 281umol / L, BAEP detection of severe hearing loss. Admission of children born in the first 1O days, production of full term infants. 1O minutes after birth, Apgar scores. 2 ~ 3d after birth, jaundice. 7d peak, near 2d diarrhea, blood gas analysis pH7.25, BE a 8.2mmol / L, HCO3-12mmol / L, no hemolysis and bleeding factors, exclusive breastfeeding, acid-base balance disorders described above also enables the blood-brain barrier permeability increase in free bilirubin into the brain tissue inhibitors of mitochondrial energy metabolism. Our data also showed, mild, hyperbilirubinemia hearing loss can occur on neonatal hyperbilirubinemia. No matter how its extent and causes should be actively to minimize its sequelae. Focus of the publication in 2003 of the closing date November 1, 2002 January 1, 2003 March 1, 2003 May 1, 2003 July 1, 2003 September 1, 2003 J, children Emergency Medicine April 2003 No. 2 section 1O studies show that domestic and foreign. Childhood hearing impairment is a common birth defects. In all newborns in the incidence of bilateral hearing impairment of 0.1% to 0.3%. Including severe and very severe hearing loss accounted for 0.1% 【3】, hyperbilirubinemia, especially serum bilirubin concentration more than shake indications, was the child of access to sensorineural hearing loss is one of the important reasons 【cited. Hearing loss level of child language pronunciation. And early diagnosis of major age-related 【. As soon after birth with severe hearing loss. With age. Never accepted as sound stimuli in the environment, not hear the words, eventually there will be varying degrees of speech and language disorders, and even lead the deaf. So. If the neonatal screening of hearing impairment, deaf and in the prevention of developmental disorders of speech and language has a pivotal role. BAEP developed in the last 2O years of diagnosis of new technologies. Is a non-invasive examination means is simple and rapid. Repetitive. Threshold of stability. In the middle ear and outer ear from the contents of such debris. More from sleep or sedative effects, examination fees is not high. It can be used as a means of early neonatal hearing screening. And subsequent monitoring of effective methods essential for understanding the disease and timely intervention. Language development of children from the damage or less.
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