King’s College Hospital, London, UK.
Arch Dis Child Fetal Neonatal Ed. 2012 Sep;97(5):F385-7. doi: 10.1136/fetalneonatal-2010-209700.
The success of surgery in infants with hepatobiliary disease is inversely proportional to the age when surgery was performed. Pale stool colour is a major indicator of biliary obstruction. However, simple recognition has been inadequate, resulting in late diagnosis and referral. Objective To assess the skills of healthcare professionals in recognising pale stools.
Photographs of normal, acholic and indeterminate infant stools were shown to paediatric professionals who have regular contact with jaundiced babies at three London teaching hospitals. Each stool was classified as 'healthy' or 'suspect'.
One-third of the stools were not correctly identified by physicians and nurses.
Experienced professionals often do not recognise stool colour associated with biliary obstruction. The authors propose that stool colour cards similar to those used in Japan and Taiwan may improve early detection of hepatobiliary disease at a minimal cost.
婴儿肝胆疾病手术的成功率与手术进行时的年龄成反比。粪便颜色发白是胆道梗阻的一个主要指标。然而，单凭肉眼识别并不足够，这导致了诊断和转诊的延误。目的 评估医护人员识别白陶土样便的能力。
在伦敦的三家教学医院中，有规律接触黄疸婴儿的儿科专业人员观看了正常、灰白色和不确定的婴儿粪便的照片。每张粪便照片都被归类为“正常”或“疑似”。
三分之一的粪便没有被医生和护士正确识别。
有经验的专业人员往往无法识别与胆道梗阻相关的粪便颜色。作者建议，可以使用类似于日本和中国台湾使用的粪便颜色卡片，以最低的成本提高肝胆疾病的早期发现率。
