中国实用儿科杂志 ›› 2022, Vol. 37 ›› Issue (7): 500-504.DOI: 10.19538/j.ek2022070606

• “一切为了人民健康———我们这十年”专栏·专题笔谈 • 上一篇    下一篇

儿童高胆红素血症

  

  1. 中国医科大学附属盛京医院儿科,辽宁  沈阳  110004
  • 出版日期:2022-07-06 发布日期:2022-08-25
  • 通讯作者: 孙梅,电子信箱:sunm@sj-hospital.org

Hyperbilirubinemia in children

  1. Department of Pediatrics,Shengjing Hospital of China Medical University,Shenyang  110004,China
  • Online:2022-07-06 Published:2022-08-25

摘要: 儿童高胆红素血症常表现为黄疸,是儿童特别是婴幼儿普遍存在的一种症状,各种病理生理学、解剖学、感染性、自身免疫性疾病及遗传代谢性因素及疾病均可引起黄疸。不同的原因导致的黄疸其严重程度及预后不同,并且有不同的时间敏感性和不同的治疗计划。早期诊断和评估、并给予个性化的优化治疗至关重要。随着分子检测技术的发展,二代测序技术使临床医生能够快速有效的对临床实践中无法通过常规血液检查直接诊断的疾病进行分子学诊断,进而精准治疗。文章主要介绍儿童高胆红素血症常见病因及其诊治策略。

关键词: 儿童, 高胆红素血症, 胆汁淤积

Abstract: Hyperbilirubinemia in children often presents with jaundice,which is a common symptom in children,especially in infants and young children.Jaundice can be caused by a variety of pathophysiological,anatomical,infectious and autoimmune diseases,as well as genetic metabolic factors and diseases.Different causes of jaundice have different severity,prognosis,timing for treatment and plan for treatment.It is essential for patients to be diagnosed earlier and receive individualized treetment.With the development of molecular detection technology,Next-generation sequencing technology allows us to quickly and effectively make molecular diagnosis of diseases that cannot be directly diagnosed through conventional blood tests or liver biopsies,and then precise treatment can be given.This article mainly introduces the common causes of hyperbilirubinemia in children and their diagnosis and treatment strategies.

Key words: child, hyperbilirubinemia, cholestasis