Infants with severe cholestasis syndrome in 1 case.docVIP

 PAGE \* MERGEFORMAT 8 Infants with severe cholestasis syndrome in 1 case [Keywords:] cholestasis; Yin Wong; Chinese medicine treatment; yang dampness; blood A medical record Male children, 82 days .2007 September 17 found that vaccination of skin stained yellow sclera, on the day of hospital treatment in local hospitals. Admission diagnosis: Jaundice of unknown origin, liver syndrome baby? To the anti-infection, support the symptomatic treatment , two days after the switch to provincial hospital for treatment of children. admission check liver function: total bilirubin 125.2 μmol / L, direct bilirubin 66 μmol / L, indirect bilirubin 59.2 μmol / L, total protein 35.6 g / L, white protein 27.5 g / L, globulin 8.1 g / L, alanine aminotransferase 24 u / L, aspartate aminotransferase 168 u / L, alkaline phosphatase 1 419 u / L, GT GGT 216 u / L, total cholesterol 5.39 mmol / L. urine stool is normal, renal function, electrolytes, enzymes negative, hepatitis B antigen negative five and former SI, hepatitis C antibody (Hcv-Ab)-negative, cytomegalovirus (CMV-DNA), Palace infection, pathogenic microorganisms (TORCH) negative blood culture (-), hepatobiliary ECT indicated that increasing the liver, bile excretion, 24 h liver image still persists. Abdominal ultrasound showed: slight enlargement of the liver, liver spot crude close , gallbladder wall rough, spleen, kidneys no obvious abnormalities. echocardiography showed: patent foramen ovale, patent ductus arteriosus. color flow display: atrial level left-right shunt, left to right shunt large vessels, left ventricular false tendons. head CT said: hypoxic ischemic encephalopathy recovery. admitted by the liver syndrome infant, in October 10, 2007 was discharged to our hospital for treatment. discharge check liver function: total bilirubin 108.2 μmol / L, direct bilirubin 55.9 μmol / L, indirect bilirubin 52.3 μmol / L, total protein 45.4 g / L, albumin 35.2 g / L, globulins 10.2 g / L, alanine aminotransferase