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饮食养生:胆囊切除术后综合征

一般认为胆囊切除后有不到三分之一的病人可出现一过性症状,可很快消失,不到10%的病人可因症状持续而需要积极治疗。

It is generally believed that after cholecystectomy, less than one third of patients can have transient symptoms, which can disappear quickly, and less than 10% of patients need active treatment because of the persistent symptoms.

2.2、oddi括约肌狭窄和缩窄性vater乳头炎术后造成这些病理变化可能与合并胆总管结石,特别是泥沙样胆红素结石或局部的慢性炎症水肿有关。

2.2. These pathological changes caused by Oddi sphincter stenosis and constrictive Vater papillitis after operation may be associated with common bile duct stones, especially sediment like bilirubin stones or local chronic inflammatory edema.

3、胆囊切除术后综合征的治疗治疗目的是消除病因、畅通胆道引流、消除感染、恢复胆管功能。

3. The purpose of treatment of post cholecystectomy syndrome is to eliminate the cause of disease, smooth the drainage of biliary tract, eliminate infection and restore the function of bile duct.

包括手术疗法及非手术疗法。

Including surgical therapy and non-surgical therapy.

内经治疗具有创伤小、恢复快、口服局麻药下便可操作等优点,笔者认为应该首选,通过临床实践证明效果满意。

Internal meridian therapy has the advantages of small trauma, rapid recovery, and can be operated under oral local anesthetics. The author thinks that it should be the first choice, and the effect is satisfactory through clinical practice.

非手术治疗采取消炎、利胆、抑酸、予胃动力药等处理。

The non-surgical treatment included anti-inflammatory, cholagogic, acid suppression and gastric motility drugs.

2、胆道动力障碍:在正常情况下胆道平滑肌受神经和体液调节,胃肠激素和神经冲动一起和谐地调节胆道不同部位的舒缩活动。

2. Biliary tract motility disorder: under normal circumstances, the smooth muscle of biliary tract is regulated by nerves and humoral fluids. Gastrointestinal hormones and nerve impulses harmoniously regulate the relaxation and contraction activities of different parts of the biliary tract.

胆囊切除后,这种平衡受到破坏。

After cholecystectomy, this balance is destroyed.

大多数病人能够通过神经体液机制适应和代偿这种平衡。

Most patients can adapt to and compensate for this balance through neurohumoral mechanisms.

术前术中未能发现,术后出现胆绞痛且伴黄疸、发热、chancut三联症,怀疑胆总管结石的病人,最好的诊断方法是mrcp和ercp。

MRCP and ERCP are the best diagnostic methods for patients with suspected choledocholithiasis.

胆囊切除术后综合征患者饮食注意1、对身体有益的饮食1.1、注意维生素摄入,尤应注意脂溶性维生素a、维生素d、维生素e、维生素k的补充,其中维生素k对控制某些类型黄疸引起的出血有效。

Attention should be paid to the diet of patients with post cholecystectomy syndrome, 1.1 diet that is beneficial to the body, 1.1 to vitamin intake, especially to the supplement of fat soluble vitamin A, vitamin D, vitamin E and vitamin K, among which vitamin K is effective in controlling hemorrhage caused by some types of jaundice.

2.2、在满足患者需要的基础上,总热能不能过高。

2.2. On the basis of meeting the needs of patients, the total heat energy should not be too high.

可以选用鱼肉、瘦肉、蛋清等。

Can choose fish, lean meat, egg white and so on.

饮食养生:胆囊切除术后综合征

一般认为胆囊切除后有不到三分之一的病人可出现一过性症状,可很快消失,不到10%的病人可因症状持续而需要积极治疗。It is generally believed that after cholecystectomy,

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大多数病人还伴有发热,体温通常在38.0℃~38.5℃之间,高热和寒战并不多见。Most patients also have fever, the body temperature is usually between 38.0 ℃ and 38.5 ℃,

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