Unal D, Camboulives J, Capoy P, Lagier P, Dor A M
Ann Anesthesiol Fr. 1977;18(11):925-32.
The authors observed six cases of cholestatis jaundice occuring during parenteral alimentation in the newborn and the infant. In 4 cases, local factors (duodenal atresia, necrosing enteritis of prematurity) or general factors (mucoviscidosis) probably played an essential role. In two cases, the parenteral alimentation seemed to be a main factor, but in one case with excessive and imbalanced supplies of amino acids. Three patients survived, with regression of the jaundice in 15 days to three weeks following the interruption of parenteral alimentation.
作者观察到6例新生儿和婴儿在胃肠外营养期间发生胆汁淤积性黄疸。其中4例,局部因素(十二指肠闭锁、早产坏死性肠炎)或全身因素(黏液黏稠病)可能起了关键作用。在2例中,胃肠外营养似乎是主要因素,但在1例中存在氨基酸供应过量和不均衡的情况。3例患者存活,在停止胃肠外营养后15天至3周黄疸消退。