Garg P K, Kumar A, Teckchandani N, Hadke N S
Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi, India.
Singapore Med J. 2008 Nov;49(11):e308-9.
Haemolytic anaemia generally gives rise to only a modest elevation of serum bilirubin. Unconjugated hyperbilirubinaemia of an extreme degree should raise suspicion of additional factors, such as Gilbert's syndrome, hepatocellular dysfunction or renal failure. We present a 17-year-old boy with hereditary spherocytosis coexisting with Gilbert's syndrome.
溶血性贫血一般只会引起血清胆红素适度升高。血清胆红素极度升高的非结合性高胆红素血症应使人怀疑是否存在其他因素,如吉尔伯特综合征、肝细胞功能障碍或肾衰竭。我们报告一名17岁男孩,其患有遗传性球形红细胞增多症并伴有吉尔伯特综合征。