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婴儿胆汁淤积性黄疸的各种类型——病因及诊断问题

Various types of cholestatic jaundice in infants--causes and diagnostic problems.

作者信息

Liberek A, Góra-Gebka M, Bako W, Rytlewska M, Kozielska E, Korzon M

机构信息

Department of Paediatrics, Gastroenterology and Paediatric Oncology, Institute of Paediatrics, Medical University, ul. Nowe Ogrody 1-6, 80-803 Gdańsk, Poland.

出版信息

Med Sci Monit. 2000 May-Jun;6(3):548-54.

Abstract

The purpose of this review was to evaluate possible differentiation between various causes of different types of cholestatic jaundice in children. Analyses were performed in 33 infants from 3 weeks to 3.5 years old with symptoms of cholestatic jaundice. The most frequent causes of cholestasis were congenital atresia of extrahepatic bile ducts (30%) and the CMV infection (20%). On the basis of the performed examinations it should be concluded that in order to differentiate between the causes of cholestatic jaundice it is necessary to do a series of tests as there is no specific diagnostic method which would be effective.

摘要

本综述的目的是评估儿童不同类型胆汁淤积性黄疸的各种病因之间可能存在的差异。对33例年龄在3周龄至3.5岁之间出现胆汁淤积性黄疸症状的婴儿进行了分析。胆汁淤积最常见的病因是肝外胆管先天性闭锁(30%)和巨细胞病毒感染(20%)。基于所进行的检查可以得出结论,由于不存在有效的特异性诊断方法,为了区分胆汁淤积性黄疸的病因,有必要进行一系列检查。

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