圣贤养生(原神灸网)

饮食养生:胆管梗阻怎么检查

1.2.2、肝总管(chd)或cbd存在明确狭窄及中断。

2.2.2. There were definite stenosis and interruption in the common hepatic duct (CHD) or CBD.

肝外梗阻分为肝门部、肝总管水平以及cbd上、中、下3段。

Extrahepatic obstruction can be divided into hilar, common hepatic duct and CBD upper, middle and lower segments.

1.2.3、良、恶性梗阻鉴别诊断:以突然截断,狭窄段胆管不规则,总胆管和肝内胆管成比例扩张以及胆管腔内不规则充盈缺损为恶性梗阻。

1.2.3. Differential diagnosis of benign and malignant obstruction: malignant obstruction is defined as sudden truncation, irregular narrow segment of bile duct, proportional expansion of common bile duct and intrahepatic bile duct, and irregular filling defect in bile duct cavity.

致病菌几乎都来自肠道,经乏特壶腹或经胆肠吻合口的通道逆行进入胆道。

Almost all of the pathogenic bacteria come from the intestine, and retrograde into the biliary tract through the ampulla of Vater or through the channel of choledochojejunostomy.

胆管也可因感染化脓造成溃疡和胆道出血。

The bile duct can also be infected and purulent, resulting in ulcers and biliary bleeding.

3、胆管梗阻的症状胆管梗阻会向下移动,因此会刺激到胆管导致痉挛,而且还会阻塞胆汁流过,而这种腹痛常见于右上腹部位,一般会感觉到剧烈的刀割的疼痛,严重的有后背也会受到牵连,因此严重者患者还会出现恶心以及呕吐的症状。

3. Symptoms of bile duct obstruction: bile duct obstruction will move downward, so it will stimulate the bile duct to cause spasm, and it will also block the flow of bile. This abdominal pain is common in the right upper abdomen, and it will feel severe knife cutting pain. In severe cases, the back will also be involved. Therefore, patients with severe symptoms of nausea and vomiting will appear.

但要注意仔细探查胆管。

However, the bile duct should be carefully explored.

主要包括:2.1.1、联合使用足量有效的广谱抗生素。

It mainly includes: 2.1.1, combined use of sufficient and effective broad-spectrum antibiotics.

2.1.2、纠正水、电解质紊乱。

2.1.2 correct the disorder of water and electrolyte.

术前治疗一般应控制在6小时内。

The preoperative treatment should be controlled within 6 hours.

afc时,由于肝细胞、毛细胆管受损害,胆汁分泌与重吸收都受影响。

In AFC, the bile secretion and reabsorption were affected due to the damage of hepatocytes and capillaries.

3、预防呼吸功能衰竭:呼吸功能衰竭早期临床上也无简便易行的观察指标,一旦症状明显,肺功能障碍处于不可逆状态,往往缺乏有效治疗措施。

3. Prevention of respiratory failure: in the early stage of respiratory failure, there is no easy and easy observation index. Once the symptoms are obvious, the lung dysfunction is in an irreversible state, and there is often a lack of effective treatment measures.

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饮食养生:胆管梗阻怎么检查

1.2.2、肝总管(chd)或cbd存在明确狭窄及中断。2.2.2. There were definite stenosis and interruption in the common hepatic duct (CHD) or CBD.肝外梗阻分为肝门部、肝总

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