High indirect bilirubin is commonly found in liver diseases, hemolytic anemia, acute hemolytic blood transfusion reaction, etc. Patients should consult doctor in time to find out the cause of the disease and treat the cause.
1. Liver diseases: acute jaundice hepatitis, acute liver necrosis, cirrhosis and other liver diseases can lead to liver dysfunction and cause high indirect bilirubin. Acute jaundice hepatitis can be treated with antiviral therapy by taking drugs such as ribavirin tablets as prescribed by the doctor. Acute hepatic necrosis can be treated by methods such as continuous venous hemofiltration. Cirrhosis can be treated with liver transplantation.
2. Hemolytic anemia: This can lead to destruction of red blood cells, and if the rate of destruction exceeds the compensatory capacity of bone marrow hematopoiesis, it can lead to high indirect bilirubin. Prednisolone tablets and other glucocorticoid drugs can be prescribed for acute treatment, and splenectomy can be performed if necessary.
3. Acute hemolytic transfusion reaction: commonly caused by blood type incompatibility between donor and recipient during clinical blood transfusion, when acute hemolytic transfusion reaction occurs, a large number of red blood cells can be destroyed, thus causing high indirect bilirubin.
Blood transfusion should be stopped immediately, and furosemide tablets can be taken orally to prevent renal failure, while paying close attention to the patient’s signs and carrying out targeted treatment. If necessary, dialysis, plasma exchange or blood exchange therapy is feasible.
There are other causes of high indirect bilirubin, it is recommended that the patient consult a doctor in a timely manner, improve the examination to clarify the cause of the disease, and follow the doctor’s instructions for treatment.