Li Sanni, Gong Xiaohui, Yin Xuedong, et al. A Case of Premature Infant with Cholestasis Induced by Drugs[J]. 2022,28(10):14-17. DOI: 10.13407/j.cnki.jpp.1672-108X.2022.10.004.
A case of premature infant with gestational age of 34+2 weeks was given parenteral nutrition and octreotide acetate injection for the treatment of premature infant
low birth weight infant
pleural effusion and chylothorax. After the main therapeutic drugs such as intravenous nutrition and octreotide injection were discontinued
that is
41 d after hospitalization
the liver function test showed significant abnormalities
and the supplementary diagnosis of cholestatic hepatitis was made. After excluding possible causes such as genetic metabolism
it was judged to be drug-related cholestasis
which was highly suspected to be induced by the prolonged application of parenteral nutrition. After diagnosis
compound glycyrrhizin tablets and ursodeoxycholic acid capsules were given to improve the liver function
and regular follow-up was performed after discharge. After 45 d of liver protection treatment