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黄疸是肝胆病或血液病常见的一个体征。它的实质就是胆红素生产过多。检查胆红素的凡登白反应以区别溶血性、阻塞性和肝细胞性黄疸,已知有许多矛盾之处:例如郁胆性黄疸既有肝细胞性黄疸的表现,更有肝外阻塞性黄疸的指征。即作生化、酶学和免疫学检验,有时也难于鉴别。近廿年对胆红素代谢不断有新的认识,明确了某些疾病产生黄疸的机理。特别对黄疸的鉴别诊断提供了不少有效的诊断检查方法,从而显著地提高了黄疸疾病的诊疗质量。
Jaundice is a common sign of hepatobiliary disease or blood disease. Its essence is excessive production of bilirubin. Check the bilirubin Vandenbai reaction to distinguish between hemolytic, obstructive and hepatocellular jaundice, there are many contradictions known: for example, biliary jaundice both hepatocellular jaundice, but also extrahepatic obstruction Jaundice indications. That is biochemical, enzymatic and immunological tests, and sometimes difficult to identify. Nearly 20 years of bilirubin metabolism continue to have a new understanding of the mechanism of certain diseases jaundice. In particular, the differential diagnosis of jaundice provides a number of effective diagnostic tests, thereby significantly improving the quality of diagnosis and treatment of jaundice diseases.