论文部分内容阅读
无味红霉素治疗量引起胆汁淤积性黄疸常见于成人,12岁以下儿童低于2%,1岁以下嬰儿罕见。病例报告:6周嬰儿,平时健康。由于中耳炎用无味红霉素治疗。5天后,患儿发生阵发性哭叫,停用抗菌素。24小时內患儿尿成暗色,粪便浅白色,出现黄疸而住院。化验:胆红质6.6毫克/100毫升,直胆4.4毫克/100毫升,碱性磷酸酶764单位/100毫升,孟加拉红扫描于4,24,48小时未见肝分泌物进入肠内。腹部超声波检查未见肝外胆管,亦未见肝内管扩张。拟诊胆道闭锁而行手术治疗。生化检查:胆红质,SGOT,5—1核苷酸酶均升高,a—1
Erythromycin-free treatment causes cholestasis Jaundice is common in adults, with less than 2% of children under 12 years old and infants under 1 year of age rare. Case report: 6 weeks baby, usually healthy. Due to otitis media treated with Erythromycin. Five days later, the patient developed a paroxysmal cry and discontinued the antibiotic. Children within 24 hours into a dark urine, feces pale white, jaundiced and hospitalized. Laboratory: bilirubin 6.6 mg / 100 ml, bolus 4.4 mg / 100 ml, alkaline phosphatase 764 units / 100 ml, Bangladesh red scanning in 4,24,48 hours no liver secretions into the intestine. Abdominal ultrasonography showed no extrahepatic bile duct, and no intrahepatic duct dilatation. The proposed diagnosis of biliary atresia and surgical treatment. Biochemical tests: bilirubin, SGOT, 5-1 nucleotide enzymes were elevated, a-1