Download - 黄 疸 jaundice
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jaundice
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34.2 mol/L(2.0mg/dl17.1-34.2 mol/L1.0-2.0 mg/dl
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( TB ) 1.7-17.1mol/L(0.1-1.0mg/dl)CB 0-3.42mol/L(0-0. 2mg/dl)UCB 1.7-13.68mol/L(0.1-0. 8mg/dl) ( CB/TB < 20% )
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80-85%4275 mol/L15-20%171-513 mol/L/
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+ + +
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+ - -UCB
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- Disse + YZ -Y/Z
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+ CB
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68-473 mol/L/ 80-90%
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10-20% 6.8 mol/L/
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(unconjugated bilirubinUCB) (van den Bergh)UCBCBCB1CB UCB=TB- CB
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(conjugated bilirubinCB)
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:
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- - UCB > UCB
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UCB
(CB)
- TBUCBCB CB/TB
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:
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:
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UCB UCB UCB
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UCB
(CB) CB + CB
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TBUCBCBCB/TB >30-40%
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:
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:
UCB
(CB)
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(CB) (CB)
+
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TBCBCB/TB > 50-60%
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TB CB - CB/TB 30-40% >50-60% - + ++
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Gilbert
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Crigler-Najjarnuclear jaundice)
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Roter
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Dubin-Johnson
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(Charcot)
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BXERCP
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PTC:19899131-CTMRI):CT
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Dubin-Johhson
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JaundiceScleral icterun; serum total bilirubin; Unconjugated bilirubin; conjugated bilirubinSenescent red blood cell; hemoglobin; heme; bilirubin; urobilirogen; urobilinReticuloendothielial system; albumin; glucuronic; distal ileum/colonprotein ligandin Y/Z
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JaundiceHemolytic jaundice; hepatocellular jaundice; cholestetic jaudice; inherted nonhemolytic jaundiceVan de Bergh reactionhyperbilirubinemia
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TB 160.3 umol/L; CB 114.9 umol/L; AKP 344(42-140)U/L; -GT 268(8-58)U/L; LDH 261(114-240)U/LALT 42(0-75)U/L ; AST 234(0-40)U/LTP 62(60-80)G/L; Albumin 23.5(35-55) G/LCB/TB 0.7168Albumin 5.4 G/L; SAAG 18.1G/L
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571+MRI:
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Thank you