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当血清中胆红素浓度升至2.0mg%以上可出现巩膜皮肤发黄,在医学上称为“临床黄疸”。此时,几乎每个医师均能作出“黄疸”的诊断,但是,要确定黄疸的原因有时甚为困难。然而这对于选择治疗方法又至关重要。因此,对于每个医师来说,熟悉各种黄疸发生机理和掌握黄疸的鉴别诊断是非常必要的。基于血清胆红素可分为结合性和非结合性,现将黄疸按此分为二类: 一、非结合性黄疸(一)胆红素产生过量(溶血性) 1.先天性溶血性贫血
When the serum bilirubin concentration rose 2.0mg% above the scleral skin may appear yellow, medically known as “clinical jaundice.” At this point, almost every physician can make a diagnosis of “jaundice,” but sometimes it is difficult to determine the cause of jaundice. However, this is crucial for the choice of treatment. Therefore, for each physician, it is necessary to be familiar with the pathogenesis of jaundice and to master the differential diagnosis of jaundice. Based on serum bilirubin can be divided into binding and non-binding, jaundice is now divided into two categories: First, the non-binding jaundice (A) bilirubin (hemolytic) 1. Congenital hemolytic anemia