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胆汁郁积(cholestasis) 一、肝内胆汁郁积(intrahepatic choles- ta is): 在某些少数病例中,黄疸的鉴别颇为困难,临床上常误诊为阻塞性黄疸,主要是由于不典型的肝炎存在,其中因肝内胆汁郁积所引起的阻塞现象占了优势。Dubin等氏认为其病因物质是传染性肝炎病毒的一种变体(variant)。对这些患者的诊断不仅是在临床和生化方面,甚至同样亦在肝活体组织检查方面遭到困维。28例传染性肝炎的黄疽患者中,Shorter等氏发现5例有肝内胆汁郁积,这5例都经过了肝活体组织检查,由于对活体组织检查的诊断缺乏信心,其中4例还接受了剖腹探查。因此,在肯定诊断方面,剖腹探查是值得注意的。
Cholestasis First, intrahepatic cholesalysis: In some minority cases, the identification of jaundice is quite difficult, clinically misdiagnosed as obstructive jaundice, mainly due to the presence of atypical hepatitis , Of which obstruction due to intrahepatic cholestasis predominates. Dubin et al. Identified the etiological agent as a variant of the infectious hepatitis virus. The diagnosis of these patients is not only clinically and biochemically, but even suffered the same difficulties in liver biopsy. Of the 28 patients with infectious hepatitis with jaundice, Shorter et al. Found 5 cases of intrahepatic cholestasis, all of which underwent liver biopsy, and 4 of whom had no confidence in the diagnosis of biopsies Caesarean section exploration. Therefore, exploratory laparotomy is noteworthy in the affirmative diagnosis.