2个多月大的毛毛得了种怪病，全身皮肤金黄。医生起初以为是生理性黄疸，不料过了个把月，皮肤颜色没退，肚子还胀得像个小球，身子愈发虚弱。

    More than two months maomao got a strange disease,Systemic skin golden yellow.Doctors at first thought it was a physiological jaundice,But after a few months,Skin color doesn't go back,Stomach bulging like a ball,The body more weak.

    前两天，毛毛的病因终于找到了，原来她得的是胆道闭锁，一种很少见的病。这种疾病很容易被家长甚至医生误以为生理性黄疸，因此延误了治疗，有性命之虞。

    Two days before,Finally found the pathogeny of maomao,She is biliary atresia,A very rare disease.This disease is easy to be parents and even the doctor think physiologic jaundice,So delayed the treatment,Have a life of.

    毛毛的身世很可怜，她是个弃婴，由福利院收养。妇儿医院外一病区主任医师鲍建华说，几天前，毛毛出生转院过来，转院来的医生讲述，毛毛出生两三周后身上出现黄疸，起初以为是很多小孩都会发的生理性黄疸，不料，治疗后颜色不但不退，还日益加深。

    Maomao's story is very poor,She is a baby,By the orphanage to adopt.Children outside a hospital ward, director of the physician BaoJianHua said,A few days ago,Maomao was born transfer to come over,Was referred to the doctor,Two or three weeks after the body appear icteric maomao was born,At first thought it was a lot of kids will send physiologic jaundice,Only to find,Color does not retreat after treatment,Is also a growing.

    根据多年临床经验，鲍建华怀疑毛毛得的是胆道闭锁。一种因为肝外胆管的一部分或全部发生闭塞，导致胆汁不能向肠道排泄，进入血液引起的疾病。这种病很少见，不及时治疗，病人绝大多数会在10个月内因为肝硬化、门脉高压、肝昏迷而死亡。

    Based on years of clinical experience,BaoJianHua doubt maomao is biliary atresia.Because a part or all of the extrahepatic bile duct occlusion,Lead to cannot to intestinal excretion of bile,Into the blood caused by disease.It is a rare disease,Not treated,The vast majority of patients would because of cirrhosis of the liver in 10 months/Portal hypertension/Hepatic coma and death.

    经诊断，毛毛被确诊为胆道闭锁，鲍建华给她作了手术。经过几天的康复治疗，昨天毛毛的各项指标已基本恢复正常，肤色也变回了正常色。

    The diagnosis of,Maomao was diagnosed with biliary atresia,BaoJianHua gave her surgery.After a few days in rehabilitation,The indicators of maomao yesterday has returned to normal,Skin color also changed back to normal.

    鲍建华说，新生儿黄疸很常见，胆道闭锁只有在腹腔镜下作胆道造影才能确诊，普通检查发现不了，因此，这种病很容易被误诊。毛毛在入院前，其实已错过了最佳的手术时间。

    BaoJianHua said,Neonatal jaundice is common,Only in laparoscopic low biliary imaging to diagnose biliary atresia,Cannot find common inspection,so,This disease is easy to be misdiagnosed.Maomao in front of the hospital,It has missed the best operation time.

    然而，家长只要细心观察，就能发现生理性黄疸和胆道闭锁之间的区别的。鲍建华说，生理性黄疸一般在小儿出生1周后出现，2周后逐渐消退。但胆道闭锁导致的黄疸会在小儿出生后2～3周出现，即生理性黄疸消退后再逐渐显露。而且胆道闭锁导致的黄疸是持续性的，还会日益加深。

    however,The parents as long as careful observation,You can find the difference between physiologic jaundice and biliary atresia.BaoJianHua said,Physiologic jaundice usually appear in children born after 1 week,2 weeks after the fade.But biliary atresia cause of jaundice in children born after 2 ~ 3 weeks,The physiologic jaundice subsided after unfolding again.And jaundice caused by biliary atresia is sustainable,Will deepen increasingly.

    鲍建华说，如果家长发现新生儿有持续性的黄疸，同时大便颜色变成淡黄甚至是灰白，就要及时带孩子到小儿外科检查。

    BaoJianHua said,If parents found neonatal jaundice continues,At the same time stools become yellowish color and is grey,Will take children to the pediatric surgery check in time.

    本报通讯员 马蝶翼

    Our correspondent horse butterfly wings

    本报记者 周皓亮

    Our reporter Zhou Haoliang