jaundice

34.2 mol/L(2.0mg/dl17.1-34.2 mol/L1.0-2.0 mg/dl

( 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% )

80-85%4275 mol/L15-20%171-513 mol/L/

+ + +

+ - -UCB

- Disse + YZ -Y/Z

+ CB

68-473 mol/L/ 80-90%

10-20% 6.8 mol/L/

(unconjugated bilirubinUCB) (van den Bergh)UCBCBCB1CB UCB=TB- CB

(conjugated bilirubinCB)

:

- - UCB > UCB

UCB

(CB)

TBUCBCB CB/TB

:

:

UCB UCB UCB

UCB

(CB) CB + CB

TBUCBCBCB/TB >30-40%

:

:

UCB

(CB)

(CB) (CB)

+

TBCBCB/TB > 50-60%

TB CB - CB/TB 30-40% >50-60% - + ++

Gilbert

Crigler-Najjarnuclear jaundice)

Roter

Dubin-Johnson

(Charcot)

BXERCP

PTC:19899131-CTMRI):CT

Dubin-Johhson

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

JaundiceHemolytic jaundice; hepatocellular jaundice; cholestetic jaudice; inherted nonhemolytic jaundiceVan de Bergh reactionhyperbilirubinemia

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

571+MRI:

Thank you