中华实用儿科临床杂志
中華實用兒科臨床雜誌
중화실용인과림상잡지
Journal of Applied Clinical Pediatrics
2014年
11期
803-806
,共4页
新生儿黄疸%胆汁淤积%胆道闭锁%早期筛查%早期诊断
新生兒黃疸%膽汁淤積%膽道閉鎖%早期篩查%早期診斷
신생인황달%담즙어적%담도폐쇄%조기사사%조기진단
Neonate jaundice%Cholestasis%Biliary atresia%Early screening%Early diagnosis
早期筛查和早期诊断是提高胆道闭锁长期存活和5年自体肝生存率的关键.目前,对于新生儿黄疸,尤其是对外科性胆汁淤积引起的黄疸的严重性存在认识不足;许多延迟消退的黄疸得不到早期诊断和治疗,出现严重黄疸并发症时才考虑去干预治疗,往往错过了最佳治疗时期.呼吁各级地方医政部门制定适合我国国情的胆道闭锁有效的筛查方法和合理的出生后随访时间表,提高各级儿童保健和儿科医务工作者对胆汁淤积症的认识水平,早期发现,早期治疗,全面提高我国胆道闭锁的诊治水平.
早期篩查和早期診斷是提高膽道閉鎖長期存活和5年自體肝生存率的關鍵.目前,對于新生兒黃疸,尤其是對外科性膽汁淤積引起的黃疸的嚴重性存在認識不足;許多延遲消退的黃疸得不到早期診斷和治療,齣現嚴重黃疸併髮癥時纔攷慮去榦預治療,往往錯過瞭最佳治療時期.呼籲各級地方醫政部門製定適閤我國國情的膽道閉鎖有效的篩查方法和閤理的齣生後隨訪時間錶,提高各級兒童保健和兒科醫務工作者對膽汁淤積癥的認識水平,早期髮現,早期治療,全麵提高我國膽道閉鎖的診治水平.
조기사사화조기진단시제고담도폐쇄장기존활화5년자체간생존솔적관건.목전,대우신생인황달,우기시대외과성담즙어적인기적황달적엄중성존재인식불족;허다연지소퇴적황달득불도조기진단화치료,출현엄중황달병발증시재고필거간예치료,왕왕착과료최가치료시기.호우각급지방의정부문제정괄합아국국정적담도폐쇄유효적사사방법화합리적출생후수방시간표,제고각급인동보건화인과의무공작자대담즙어적증적인식수평,조기발현,조기치료,전면제고아국담도폐쇄적진치수평.
The early screening and early diagnosis of biliary atresia is the key to improve the 5-year native liver survival rate,jaundice-free-native-liver survival rate and overall survival rate.So far,the neonatal jaundice,especially that caused by surgical cholestasis exists the lack of awareness.Because of this reason,the delay depletion jaundice patients did not receive early diagnosis and treatment until the severe complications happened.So,it has often missed the best period of operation for the biliary atresia.Called for local medical health governments to formulate the effective early screening methods of biliary atresia and the reasonable schedule of postnatal follow-up,and improving the ability of basic unit medical staff in well understanding cholestasis disease in order to achieve early diagnosis and treatment.Consequently,it will improve the situation of diagnosis and treatment of biliary atresia in our country.