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在诊断婴儿黄疸的疑难病例时,临床鉴别上常存在较大困难,部分婴儿因未能及时诊断而失去治疗时机。因此,迫切需要一种快速、安全、准确的方法。核素肝胆动态显象可同时获得肝胆功能状态的动力学和形态学两方面资料,以此能及时作出内科性和外科性黄疸的鉴别诊断。我们采用~(99m)锝(Tc)标记二乙甚乙酰苯胺亚氨二醋酸(EHIDA)进行肝胆扫描,在鉴别诊断上取得了较为满意效果。 1资料与方法 1.1一般资料 1996年4月～1998年3月,共选择11例黄疸婴儿,其中男性7例,女性4例;年龄1个月～5个月。临床均有黄疸、肝肿大或肝脾肿大、肝功能受损等特点,血清胆红素68.7～110mmol/L。
In the diagnosis of difficult cases of infant jaundice, clinical identification often have greater difficulties, some of the infants failed to timely diagnosis of the loss of treatment timing. Therefore, there is an urgent need for a fast, safe and accurate method. Nuclide dynamic imaging of liver and gallbladder at the same time can be obtained both dynamic and morphological state of liver and gallbladder information, which can make timely and surgical jaundice differential diagnosis. We used ~ (99m) technetium (Tc) labeled diethylacetanilide iminodiacetic acid (EHIDA) for hepatobiliary scanning in the differential diagnosis has made more satisfactory results. 1 Materials and Methods 1.1 General Information April 1996 ~ March 1998, a total of 11 cases of jaundice selected infants, including 7 males and 4 females; aged 1 month to 5 months. Clinical jaundice, hepatomegaly or hepatosplenomegaly, impaired liver function, serum bilirubin 68.7 ~ 110mmol / L.