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先天性胆总管囊肿多在婴幼儿及儿童时期发现。对该病治疗方法的选择、意见尚不统一。现将我院用内,外引流同时进行治疗巨大胆总管囊肿一例报告如下: 患儿女,11个月。主因黄疸,发烧、腹部肿块10个月,于1982年2月2日入院。足月顺产第一胎。母孕期无特殊记载。生后皮肤发黄,一个月仍不见消退,反而黄疸间歇性加重。食欲欠佳,偶有恶心、呕吐。反复发烧。大便色淡。尿呈茶色。其母无意中发现患儿上腹部有一鸡蛋大肿物;日趋长大,体质变差。来我院以阻塞性黄疸收住院。体检:38℃,P140次/分。精神淡漠,皮肤无弹性。皮肤巩膜中度黄染。浅在淋结不大。颈软无抵抗。胸廓对称,两肺呼吸音清。心界不大心律整,心尖部可闻及Ⅰ级
Congenital choledochal cysts and more found in infants and children. The choice of the treatment of the disease, the opinion is not uniform. Now my hospital with internal and external drainage at the same time treatment of giant cholecystectomy cases reported as follows: Children with children, 11 months. The main jaundice, fever, abdominal mass 10 months, on February 2, 1982 admission. Full-term first-born fetus. There are no special records during pregnancy. Yellow skin after birth, a month still not subsided, but intermittent jaundice increased. Poor appetite, occasionally nausea, vomiting. Repeated fever. Stool pale. Urine was brown. Inadvertently found in their children have a large egg in the abdomen of the abdomen; growing up, physical deterioration. To our hospital admitted to obstructive jaundice. Physical examination: 38 ℃, P140 times / min. Apathetic, skin inelastic. Skin sclera moderate yellow dye. Shallow in the shower is not big. Soft neck without resistance. Symmetrical thorax, lung breath sounds clear. Heart is not big heart, the apex can be heard and Ⅰ level