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从1981年10月至1995年12月,我室对在上海部分医院出生的60万新生儿进行了苯丙酮尿症(PKU)的筛查,共查出35个阳性病例,发病率为1/17178(35/601218)。33例确诊为经典型PKU,另2例确诊为四氢生物喋呤缺乏症(BH_4deficiency).所有PKU患者(除1例外)均在生后32±16天开始接受低苯丙氨酸奶方的治疗,取得了显著的疗效.在对本组PKU患儿的随访中发现,绝大部分患儿2岁以前的血苯丙氨酸(phenylalanine,Phe)浓度控制在较理想的范围内(4-10mg/dl),智商正常;2岁以后其血苯丙氨酸浓度常常超过10mg/dl,智商明显下降。作者对比作了分析并就完善PKU筛查阳性病例的临床管理作了初步探讨。
From October 1981 to December 1995, we screened PKU for 600,000 newborns born in some hospitals in Shanghai. A total of 35 positive cases were detected, with a prevalence of 1 / 17178 (35/601218). 33 cases were diagnosed as classical PKU, and the other 2 cases were diagnosed as BH_4deficiency. All PKU patients (except 1) started treatment with low-phenylalanine milk formula 32 ± 16 days after birth and achieved a significant therapeutic effect. In the follow-up of children with PKU in this group found that the vast majority of children before the age of 2, the concentration of phenylalanine (phenylalanine, Phe) control in the ideal range (4-10mg / dl), IQ is normal; 2 After the age of his blood phenylalanine concentrations often exceed 10mg / dl, IQ decreased significantly. The authors compared the analysis and to improve the clinical management of PKU positive cases made a preliminary study.