重视新生儿胆汁淤积：提高胆道闭锁的早诊率

Care of neonatal cholestasis： opportunities to improve early diagnosis of biliary atresia

早期筛查和早期诊断是提高胆道闭锁长期存活和5年自体肝生存率的关键。目前，对于新生儿黄疸，尤其是对外科性胆汁淤积引起的黄疸的严重性存在认识不足；许多延迟消退的黄疸得不到早期诊断和治疗，出现严重黄疸并发症时才考虑去干预治疗，往往错过了最佳治疗时期。呼吁各级地方医政部门制定适合我国国情的胆道闭锁有效的筛查方法和合理的出生后随访时间表，提高各级儿童保健和儿科医务工作者对胆汁淤积症的认识水平，早期发现，早期治疗，全面提高我国胆道闭锁的诊治水平。

The early screening and early diagnosis of biliary atresia is the key to improve the 5-year native liver survival rate,jaundice-free-native-liver survival rate and overall survival rate. So far, the neonatal jaundice, especially that caused by surgical cholestasis exists the lack of awareness. Because of this reason, the delay depletion jaundice pa- tients did not receive early diagnosis and treatment until the severe complications happened. So, it has often missed the best period of operation for the biliary atresia. Called for local medical health governments to formulate the effective ear- ly screening methods of biliary atresia and the reasonable schedule of postnatal follow-up, and improving the ability of basic unit medical staff in well understanding cholestasis disease in order to achieve early diagnosis and treatment. Con- sequently,it will improve the situation of diagnosis and treatment of biliary atresia in our country.