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２３例临床难以确诊的高胆红素血症婴儿用放射性核素胆系显像作鉴别诊断．患儿年龄１９天～６月，男１６例，女７例．血清胆红素７１．８２～５４５．４９μｍｏｌ／Ｌ．静脉注射放射性药物后，肠道显示放射性者诊断为婴儿肝炎．２４小时肠道未见放射性者，用苯巴比妥５ｍｇ·ｋｇ－１·ｄ－１诱导７～１０天后再次显像，２４小时内肠道仍无放射性者诊断为先天性胆道闭锁．本组病例中婴儿肝炎８例，其中２例经药物诱导确诊．先天性胆道闭锁１５例．病理、手术和临床证实显像结果．所有病例均无副反应．表明这是较为可靠、安全、简便、实用的鉴别诊断黄疸的方法．
23 cases of clinically difficult to diagnose hyperbilirubinemia in children with radionuclide biliary line imaging for differential diagnosis. Children aged 19 days to 6 months, 16 males and 7 females. Serum bilirubin 71.82 ~ 545.49μmol / L. After the intravenous injection of radiopharmaceuticals, the intestinal tract showed radioactive diagnosis of infant hepatitis. 24-hour intestinal no radioactive, with phenobarbital 5mg · kg-1 · d-1 induction of 7 to 10 days after imaging, 24 hours still no radioactive bowel diagnosis of congenital biliary atresia. In this group of 8 cases of infant hepatitis, of which 2 cases were diagnosed by drug-induced. Congenital biliary atresia in 15 cases. Pathology, surgery and clinical imaging results confirmed. No side effects in all cases. This shows that this is a more reliable, safe, simple and practical method of differential diagnosis of jaundice.