Helin Radley, Bhat Rama, Rao Bhaskara
Department of Pediatrics, University of Illinois Medical Center, Chicago, IL 60612, USA.
Neonatology. 2007;91(4):266-70. doi: 10.1159/000098174. Epub 2006 Dec 22.
Use of a percutaneously-inserted cholecystostomy drainage tube is an effective therapeutic option for acute hyperbilirubinemia in severely-ill adult patients, but to our knowledge has not been previously reported in infants. We describe an infant who developed acute extrahepatic biliary tract obstruction with marked conjugated (direct) hyperbilirubinemia, and who was determined to be an unsuitable surgical candidate. Ultrasound-guided percutaneous cholecystostomy was performed and resulted in prompt, significant, and sustained decline in serum bilirubin levels. Potential risks and benefits, as well as suggested indications for the procedure are discussed.
经皮插入胆囊造瘘引流管的使用对于重症成年患者的急性高胆红素血症是一种有效的治疗选择，但据我们所知，此前尚未在婴儿中报道过。我们描述了一名患有急性肝外胆道梗阻并伴有明显结合（直接）高胆红素血症的婴儿，该婴儿被确定为不适合手术的候选者。进行了超声引导下经皮胆囊造瘘术，结果血清胆红素水平迅速、显著且持续下降。文中讨论了该手术的潜在风险和益处以及建议的适应症。
