改进引流管和用十二指肠引流术鉴别诊断新生儿黄疸

Differential Diagnosis of Neonatal Jaundice by Reformed Duodenal Drainage

作者用改进的十二指肠引流管,对28例28天至9个月患梗阻性黄疸的新生儿和婴儿进行十二指肠引流术.包括先天性胆道闭锁19例,先天性胆汁粘稠症及先天性胆总管下段狭窄各1例,新生儿肝炎7例.新生儿肝炎的十二指肠液有胆红素6例.无胆红素1例;胆道闭锁的十二指肠液无胆红素17例,有胆红素2例.该法操作简便易行,结果可靠,有助于及早发现胆道闭锁,争取手术时间.

Twenty-eight newborns and infants with obstructive jaundice were given reformed duodenal drainage between May 1981 and Oct.1986.The ages varied from 28 days to 9 months and 20 cases were under 3 months old.19 of 28 cases were suffered from congenital biliary atresia;1 case cholestasis,1 case congenital stenosis of lower biliary tract and the other 7 cases neonatal hepatitis.