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鉴别新生儿肝炎和胆道闭锁在乳儿是困难的。为了决定是否作手术需要早期诊断。曾有多种试验和检查方法用以鉴别此两种疾病,但都不是非常可靠的,并且有的操作复杂,有的则有一定的危险。作者介绍用甲胎蛋白测定进行鉴别。共19例黄疸婴儿,年龄2～14周,其中8例剖腹探查证实为胆道闭锁,11例新生儿肝炎中4例为剖腹探查和穿刺证实,7例依靠典型经过并最后痊愈得到证实。所有婴儿均有直接胆红质升高,大部分患儿黄疸见于生后7天内。胆红质和转氨酶高峰在新生儿肝
Identification of neonatal hepatitis and biliary atresia is difficult in infants. In order to decide whether or not surgery requires early diagnosis. There have been a variety of tests and examinations to identify these two diseases, but neither are very reliable, and some are complex and others are somewhat dangerous. The author describes the use of alpha-fetoprotein determination to identify. A total of 19 cases of jaundice infants, aged 2 to 14 weeks, including 8 cases of laparotomy confirmed biliary atresia, 11 cases of neonatal hepatitis in 4 cases laparotomy and puncture confirmed that 7 cases rely on the typical after the final recovery was confirmed. All infants have direct bilirubin, most children with jaundice seen within 7 days after birth. Peaks of bilirubin and aminotransferases in neonatal liver