新生儿和婴儿肝炎综合征的诊断与处理

Diagnosis and treatment of neonatal and infantile hepatitis syndrome

婴儿肝炎综合征临床上较为常见,病因复杂,但感染尤其是病毒感染为常见的病因。临床表现主要有持续性黄疸、肝或肝脾肿大、肝功异常等症候群。诊断时应尽量明确病因,但仍有不少患儿病因较难确定。婴儿肝炎综合征目前尚无特效治疗,强调对症、营养支持,护肝利胆,积极进行病因治疗。对终末期肝病可考虑肝移植。预后与病因有关,感染性者大多预后良好。

Infantile Hepatitis Syndrome(IHS) is fairly common in neonatal and early infant period.The causes are complex in which infections especially numerous viruses infection play important roles.The syndrome manifests clinically persistent jaundice,with abnormal liver functions and liver enlargement alone or with hepatosplenomegaly.Searching for the causes has important significance in ISH.However,it is difficulty to confirm the causes in many infants.There are no specific and effective treatments for the syndrom...