圣贤养生(原神灸网)

饮食养生:新生儿胆道阻塞原因

部分病儿出生时有正常黄色大便,数周后才出现灰白色大便及黄疸,也提示这些病儿胆道梗阻出生后才发生。

Some of the sick children had normal yellow stool at birth, and gray white stool and jaundice appeared only a few weeks later, which also indicated that biliary obstruction occurred only after birth.

另外一种是我们比较常见到的,即围生期形成的胆道闭锁,这种胆道闭锁的宝宝在出生时基本正常, 体重和大便颜色也均正常,大概在出生后2-3周才逐渐显露黄疸并逐渐加深,皮肤可变成金黄色甚至褐色,患儿排过墨绿色胎便后,大便的颜色逐渐变为浅黄色、灰白色、陶土色。

The other is the common biliary atresia, which is formed in perinatal period. The infants with biliary atresia are basically normal at birth, and their weight and stool color are normal. Jaundice gradually appears and deepens in 2-3 weeks after birth, and the skin can turn golden yellow or even brown. After the baby passes through the dark green feces, the baby has normal weight and stool color, The color of stool gradually changed to light yellow, gray white and clay color.

3.2 肝移植 肝移植是先天性胆道闭锁发展至终末期惟一有效的治疗手段。

3.2 liver transplantation liver transplantation is the only effective treatment for congenital biliary atresia developed to the end stage.

在小儿(年龄小于18岁)肝移植中,先天性胆道闭锁所占比例接近一半,其中1岁以内中,所占比例约90%。

In pediatric liver transplantation (under 18 years old), congenital biliary atresia accounts for nearly half, of which about 90% are under 1 year old.

新生儿胆道阻塞如何护理1、术前肠道准备。

How to care for neonatal biliary obstruction 1. Bowel preparation before operation.

术前清洁洗肠可以利用机械性冲洗,从数量上减少肠道微生物。

Mechanical washing can be used to reduce the number of intestinal microorganisms.

2、术后切口的护理。

2. Postoperative incision nursing.

ba患儿术前多有肝功能不全、肝硬化、甚至因腹水致腹胀。

Most of Ba children had liver dysfunction, cirrhosis and even abdominal distension caused by ascites.

观察的内容包括体温、脉搏、呼吸、精神状况、黄疸变化、腹胀消长。

The observation included body temperature, pulse, respiration, mental status, jaundice changes, and abdominal distension.

由于ba患儿多合并脐疝,有时脐疝内容物是否突出被作为观察腹胀程度的客观指标。

Because Ba children are often complicated with umbilical hernia, sometimes whether the contents of umbilical hernia protrude is used as an objective index to observe the degree of abdominal distension.

4、基础护理。

4. Basic nursing.

ba患儿术后可合并多种并发症,早期最常见的是胆管炎和二重感染。

There are many complications after Ba operation. Cholangitis and double infection are the most common in the early stage.

预防措施应从孕前贯穿至产前:婚前体检在预防出生缺陷中起到积极的作用,作用大小取决于检查项目和内容,主要包括血清学检查(如乙肝病毒、梅毒螺旋体、艾滋病病毒)、生殖系统检查(如筛查宫颈炎症)、普通体检(如血压、心电图)以及询问疾病家族史、个人既往病史等,做好遗传病咨询工作。

Preventive measures should be carried out from pre pregnancy to prenatal care: premarital physical examination plays a positive role in the prevention of birth defects, and the role depends on the examination items and contents, It mainly includes serological examination (such as hepatitis B virus, Treponema pallidum, HIV), reproductive system examination (such as screening cervicitis), general physical examination (such as blood pressure and electrocardiogram), and asking about family history of diseases and personal past medical history, etc., and doing a good job in consulting genetic diseases.

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