BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 青春期后的年龄
  • 吉尔伯特综合征阳性家族史
  • 黄疸
  • 无肝脾肿大

危险因素

  • 青春期后的年龄
  • 吉尔伯特综合征家族史

诊断性检查

首要检查

  • 非结合的胆红素
  • 肝脏氨基转移酶
  • γ-谷氨酰转肽酶
  • 乳酸脱氢酶
全部具体信息

需要考虑的检查

  • 肝活组织检查
  • 血浆未结合胆红素是对禁食的应答
  • 血浆未结合胆红素是对烟酸的应答
  • UDPGT-1A1 基因分型
全部具体信息

治疗流程

疾病持续状态

贡献者

Assistant Professor of Medicine

Gastroenterology & Hepatology

University of Nebraska Medical Center

Omaha

NE

利益冲突披露
MAOM declares that he has no competing interests.

Dr John L. Gollan and Dr Marco A. Olivera-Martinez would like to gratefully acknowledge Dr Brian Ward, a previous contributor to this monograph. BW declares that he has no competing interests.

同行评议专家 查看所有

Professor of Pediatrics

Division of Endocrinology and Metabolism

Baylor College of Medicine

Texas Children's Hospital

Houston

TX

利益冲突披露
LPK declares that she has no competing interests.

Consultant Surgeon

St. Mark's Hospital

London

UK

利益冲突披露
JTJ declares that he has no competing interests.

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