天津医药
天津醫藥
천진의약
TIANJIN MEDICAL JOURNAL
2015年
1期
1-3,4
,共4页
胆道闭锁%新生儿筛查%粪卡%超声检查%胆红素
膽道閉鎖%新生兒篩查%糞卡%超聲檢查%膽紅素
담도폐쇄%신생인사사%분잡%초성검사%담홍소
biliary atresia%neonatal screening%stool color card%ultrasonography%bilirubin
目前已经公认Kasai手术是治疗胆道闭锁的最佳方案，推行早期筛查计划可以使得胆道闭锁患儿在合适的时间点完成Kasai手术，这是提高胆道闭锁自体肝生存时间的关键所在。粪卡、B超检查、血清直接胆红素水平监测可以用于初步筛查胆道闭锁，而基层医疗单位相关人员的宣教工作对于提高胆道闭锁的认识意义重大。有些国家和地区已将相关的筛查项目放入新生儿健康手册中，且对于胆道闭锁的治疗有较大的帮助，大大提高其自体肝生存时间。我国尚没有在国家层面上推行胆道闭锁的早期筛查项目，应关注胆道闭锁，尽快建立胆道闭锁筛查体系。
目前已經公認Kasai手術是治療膽道閉鎖的最佳方案，推行早期篩查計劃可以使得膽道閉鎖患兒在閤適的時間點完成Kasai手術，這是提高膽道閉鎖自體肝生存時間的關鍵所在。糞卡、B超檢查、血清直接膽紅素水平鑑測可以用于初步篩查膽道閉鎖，而基層醫療單位相關人員的宣教工作對于提高膽道閉鎖的認識意義重大。有些國傢和地區已將相關的篩查項目放入新生兒健康手冊中，且對于膽道閉鎖的治療有較大的幫助，大大提高其自體肝生存時間。我國尚沒有在國傢層麵上推行膽道閉鎖的早期篩查項目，應關註膽道閉鎖，儘快建立膽道閉鎖篩查體繫。
목전이경공인Kasai수술시치료담도폐쇄적최가방안，추행조기사사계화가이사득담도폐쇄환인재합괄적시간점완성Kasai수술，저시제고담도폐쇄자체간생존시간적관건소재。분잡、B초검사、혈청직접담홍소수평감측가이용우초보사사담도폐쇄，이기층의료단위상관인원적선교공작대우제고담도폐쇄적인식의의중대。유사국가화지구이장상관적사사항목방입신생인건강수책중，차대우담도폐쇄적치료유교대적방조，대대제고기자체간생존시간。아국상몰유재국가층면상추행담도폐쇄적조기사사항목，응관주담도폐쇄，진쾌건립담도폐쇄사사체계。
It is generally accepted that Kasai operation is the best treatment for biliary atresia (BA). The implementation of early screen plan improves the age threshold at the suitable time point of Kasai operation. This is the key issue to improve the survival rate of autologous liver in biliary atresia. The monitoring of stool color card, B-ultrasonography and serum con?jugated bilirubin can be used for preliminary seeming biliary atresia. It is very important to improve the ability of basic unit medical staff for major improvements to the understanding of the significance of biliary atresia. In some country and district, the local government has put the screen list for BA into healthcare booklet for children. Thus, it has a significant impact of early screen plan on the diagnosis and treatment of BA, and it can improve the BA autologous liver survival time. So far, there is still no BA early screen plan in the nationwide. We should pay attention to BA, and establish early screen system in different local health unit quickly.
