Rivera-Medina J, Aguado-Quevedo R, Rodríguez-Huapaya J, Palacios-Salas M, Gonzales-Benavides J, Alarcón-Olivera A
Servicio de Gastroenterología, Instituto de Salud del Niño.
Rev Gastroenterol Peru. 1995 Jan-Apr;15(1):27-33.
In order to establish a clinical or laboratory difference 52 Clinical charts of patients that were attended at the Gastroenterologic Unit at the Children's Hospital in Lima-Perú since January 1988 to December 1992, with the diagnosis of Neonatal Cholestasis were reviewed. 14 of them were discharged; at the end we have reviewed 23 cases of biliary atresia, 8 of neonatal hepatitis and 7 with congenital choledochal cyst. All patients went through sonography, scintigraphy and liver biopsy. No statistical differences were found in symptomatology, as well as jaundice, feces color or coluria. We concluded that the most accurate way to predict a diagnosis is through the sonography, scintigraphy and liver biopsy.
为了确定临床或实验室差异，我们回顾了1988年1月至1992年12月在秘鲁利马儿童医院胃肠病科就诊的52例诊断为新生儿胆汁淤积的患者的临床病历。其中14例已出院；最后我们回顾了23例胆道闭锁、8例新生儿肝炎和7例先天性胆总管囊肿病例。所有患者均接受了超声检查、闪烁扫描和肝活检。在症状、黄疸、粪便颜色或尿色方面未发现统计学差异。我们得出结论，预测诊断的最准确方法是通过超声检查、闪烁扫描和肝活检。
