Wandl-Vergesslich K, Strasser R, Gulesserian T, Youssefzadeh S, Radner M, Weninger M
Abteilung Allgemeine Pädiatrie, Universitätsklinik für Kinder und Jugendheilkunde Wien.
Ultraschall Med. 1997 Oct;18(5):205-8. doi: 10.1055/s-2007-1000426.
Evaluation of sonography in the assessment of changes of the biliary system of newborn infants receiving total parenteral nutrition.
In 20 premature infants on mechanical ventilation, the influence of two different amino acid solutions (Vaminolac, Paedamin) in the development of neonatal cholestasis was analysed. The patients were randomised in two groups. Group 1 (n = 11) received Paedamin, group 2 (n = 9) received Vaminolac.
There was no statistically significant influence of the amino acid solution on the development of cholestasis. However, the majority of the children with cholestasis (8 of 11) presented with sepsis.
Bacterial infections seem to be closely related to the development of cholestasis. Sludge formation within the bile ducts represents a sensitive sonographic parameter for the diagnosis and follow-up of cholestasis secondary to total parenteral nutrition.
评估超声检查在接受全胃肠外营养的新生儿胆道系统变化评估中的作用。
对20例接受机械通气的早产儿，分析两种不同氨基酸溶液（凡命、小儿氨基酸）对新生儿胆汁淤积症发生发展的影响。将患者随机分为两组。第1组（n = 11）接受小儿氨基酸，第2组（n = 9）接受凡命。
氨基酸溶液对胆汁淤积症的发生发展无统计学显著影响。然而，大多数胆汁淤积症患儿（11例中的8例）伴有败血症。
细菌感染似乎与胆汁淤积症的发生密切相关。胆管内形成胆泥是全胃肠外营养继发胆汁淤积症诊断及随访的一个敏感超声参数。
