Gathmann H A
Leber Magen Darm. 1979 Apr;9(2):47-53.
Cholestasis in early infancy produces reactive alterations of liver parenchyma within the first weeks of life; histological examination of liver biopsy specimens may give hints as to the underlying disease. Differentiation of bile duct atresia and giant cell hepatitis at an early stage is especially important. Hyperplasia of the intrahepatic bile duct system can be due to rather different diseases. Congenital abnormalities of the duct system can be distinguished from reactive alterations only by early liver biopsy. Certain histological changes may give evidence of congenital or other metabolic disorders. Hemochromatosis of the neonatal period has been characterized morphologically but not as yet biochemically.
婴儿早期的胆汁淤积在生命的最初几周内会引起肝实质的反应性改变;肝活检标本的组织学检查可能会提示潜在疾病。早期区分胆管闭锁和巨细胞肝炎尤为重要。肝内胆管系统的增生可能由多种不同疾病引起。只有通过早期肝活检才能将胆管系统的先天性异常与反应性改变区分开来。某些组织学变化可能提示先天性或其他代谢紊乱。新生儿期的血色素沉着症已在形态学上得到描述,但尚未进行生化特征描述。