梅毒感染致婴儿胆汁淤积症的诊治进展

近年来,随着成人梅毒感染率的增加,有研究提示在婴儿胆汁淤积症患儿的病因分析中,梅毒感染约占1.45％,梅毒感染作为引起婴儿胆汁淤积症的病因之一,常造成多脏器、多系统的损害.累及肝脏时,多表现为婴儿胆汁淤积症,既可表现为黄疸、皮肤瘙痒、深色尿、陶土便等胆汁淤积症的症状,还可同时合并皮肤黏膜梅毒、骨梅毒、神经系统梅毒等表现.其治疗既包括早期、系统、足量的驱梅治疗,同时还需针对胆汁淤积症进行利胆、退黄、护肝、营养等治疗.该文对梅毒感染所致婴儿胆汁淤积症的病因、临床表现、诊断、治疗以及预防予以综述.

Progress of diagnosis and treatment about syphilis infection causing infant cholestasis

With the increasing rates of adult syphilis infection,some reports have suggested that the syphilis infection accounted for about 1.45％ of the etiology the infantile cholestasis,syphilis infection often lead to multiple organ and system dysfunction as a cause of infant cholestasis disease,it characterized by infantile cholestasis which performanced with jaundice,itchy skin,dark yellow urine,acholic stools,etc when it involved liver,syphilis infection can also merge with mucosal syphilis,osseous syphilis,neurosyphilis.The treatment of infant cholestasis caused by syphilis infection includes early system of adequate antisyphilitics treatment,meanwhile,we should cholagogue,removing jaundice,hepatic protection,and nutritional therapy for cholestasis.In this article,we are planing to review the etiology,clinical manifestation,diagnosis,treatment and prevention of the infantile cholestasis caused by syphilis infection.