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黄疸性质的诊断以往靠生化检查、放射学检查及胆道造影等方法,但有时仍难以确诊。应用光学纤维十二指肠镜检、壶腹部插管及总胆管一胰管逆行造影术(E.R.C.P.),为解决此问题提供了一个新的途径。本文报导在87例用常规方法未能确诊的黄疸病人应用此新方法的经验。术前禁食6小时,咽部局麻,并给以阿托品及镇静剂。病人取左侧卧位或半坐卧位在X线透视下插入
The diagnosis of jaundice was based on biochemical tests, radiological examinations, and cholangiography. However, it is still difficult to diagnose. The use of optical fiber duodenoscopy, ampulla intubation, and common bile duct-pancreatic retrograde angiography (E.R.C.P.) provide a new way to solve this problem. This article reports on the experience of applying this new method to 87 patients with jaundice who have not been diagnosed with conventional methods. Fasting 6 hours before surgery, local anesthesia in the throat, and give atropine and sedatives. The patient is inserted in the left lateral or semi-supine position under fluoroscopy