Takikawa H, Maruyama T, Ota S, Matsumoto K, Sugimoto T, Takano E
Jpn J Med. 1984 Aug;23(3):258-60. doi: 10.2169/internalmedicine1962.23.258.
The marked conjugated hyperbilirubinemia in a 72-year-old patient with myocardial infarction and sepsis is reported. The serum bilirubin, which was predominantly composed of conjugated bilirubin, was elevated to 21 mg/100 ml, while serum bile acid and alkaline phosphatase levels were normal or slightly elevated. Postmortem examination of the liver revealed slightly proliferated bile ductules and some bile thrombi with little liver cell necrosis.
报告了一例72岁心肌梗死合并脓毒症患者出现明显的结合胆红素血症。血清胆红素以结合胆红素为主，升高至21mg/100ml，而血清胆汁酸和碱性磷酸酶水平正常或轻度升高。肝脏尸检显示胆小管轻度增生，有一些胆栓，肝细胞坏死较少。
