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目的:为探讨小儿肝硬化的临床特点、诊断、治疗和转归,本文对小儿肝硬化21例进行回顾性总结分析。方法:实验室测总蛋白、A/G、ALT,血红蛋白、血小板PT,胆红素并辅以X线、胃镜、肝穿等。结果:总蛋白降低5例,A/G倒置5例,ALT升高8例,血红蛋白降低3例,血小板减少3例,PT延长7例,胆红素升高12例、X线、胃镜查食道,胃底静脉曲线,肝穿3例肝硬化。结论:小儿由于其生理学特点,如能早期诊断与治疗是防止或逆转小儿肝硬化形成的关键。
Objective: To investigate the clinical features, diagnosis, treatment and prognosis of pediatric cirrhosis, 21 cases of pediatric cirrhosis were retrospectively analyzed. Methods: Laboratory total protein, A / G, ALT, hemoglobin, platelet PT, bilirubin and supplemented by X-ray, gastroscope, liver and so on. Results: Total protein decreased in 5 cases, A / G inverted in 5 cases, ALT increased in 8 cases, hemoglobin decreased in 3 cases, thrombocytopenia in 3 cases, PT prolonged in 7 cases, elevated bilirubin in 12 cases, X - ray, , Gastric venous curve, liver in 3 cases of liver cirrhosis. Conclusion: Pediatric diagnosis and treatment due to its physiological characteristics, such as early diagnosis and treatment, is the key to prevent or reverse the formation of cirrhosis in children.