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饮食养生:胆道梗阻的症状

医学上称为脂肪性腹泻。

It is called fatty diarrhea in medicine.

由于肠道内缺乏胆汁或胆汁量减少,使维生素k吸收不足,影响了人体中凝血因子的形成,这样就会发生出血倾向。

Due to the lack of bile in the intestine or the reduction of bile volume, vitamin K is not absorbed enough, which affects the formation of coagulation factors in the human body, which will lead to bleeding tendency.

血中胆固醇增加:胆道阻塞后,胆汁不能正常排出,使胆汁中的胆盐滞留堆积在肝细胞内,反过来抑制了胆固醇的分解,最后使血中胆固醇增加。

Increase of cholesterol in blood: after biliary obstruction, bile can not be discharged normally, so that bile salt in bile is retained and accumulated in liver cells, which in turn inhibits the decomposition of cholesterol, and finally increases cholesterol in blood.

胆道系统阻塞后,胆汁的排泄受到阻碍而使胆红素返流到血液引起的黄疸,称为阻塞性黄疸。

After obstruction of biliary system, bile excretion is obstructed and bilirubin flows back to blood, which is called obstructive jaundice.

梗阻部位可在肝内或肝外,有完全性梗阻和不完全性梗阻。

The location of obstruction may be inside or outside the liver, with complete obstruction and incomplete obstruction.

常见的病因有毛细胆管型肝炎,胆石症、肝癌、胆管癌、胰癌、胆道蛔虫症等。

The common causes are capillary hepatitis, cholelithiasis, liver cancer, cholangiocarcinoma, pancreatic cancer, biliary ascariasis, etc.

2、胆道梗阻的病因胆道梗阻是外科急腹症中死亡率较高的一种疾病,多数继发于胆管结石和胆道蛔虫症。

2. Etiology of biliary obstruction biliary obstruction is a disease with high mortality in surgical acute abdomen, most of which are secondary to bile duct stones and biliary ascariasis.

上述疾病造成胆管阻塞,胆汁郁积,以及继发细菌感染。

These diseases cause bile duct obstruction, cholestasis and secondary bacterial infection.

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.

致病菌主要为大肠杆菌,克雷白菌,粪链球菌和某些厌氧菌。

The main pathogenic bacteria were Escherichia coli, Klebsiella, Streptococcus faecalis and some anaerobic bacteria.

3、胆道梗阻怎么检查胆道梗阻常用检查:经皮经肝胆道造影术;胆道镜检查;静脉胆道造影;胆道造影;心电图。

3. How to check biliary obstruction common examination: percutaneous transhepatic cholangiography; choledochoscopy; intravenous cholangiography; Cholangiography; electrocardiogram.

胆道梗阻如何预防注意肝脏功能变化:afc往往引起肝脏功能的严重损害,目前监测方法尚不能及早发现肝功能衰竭,多在出现精神症状、肝性脑病后作出诊断,因此必须高度重视各种临床性状,准确地记录每天胆汁量以及颜色、浓度等的变化。

How to prevent biliary obstruction and pay attention to the changes of liver function: AFC often causes serious damage to liver function. At present, monitoring methods can not detect liver failure early. Diagnosis is usually made after mental symptoms and hepatic encephalopathy. Therefore, we must attach great importance to various clinical characteristics and accurately record the changes of bile volume, color and concentration every day.

胆管外引流后,肠道内胆盐明显减少,不能有效地抑制细菌繁殖和内毒素,而大量内毒素经门静脉至肝内,可进一步加重肝脏的损害,口服胆盐可明显减少肠道内细菌及内毒素。

After bile duct drainage, bile salt in the intestinal tract decreased significantly, which could not effectively inhibit bacterial reproduction and endotoxin. However, a large amount of endotoxin into the liver via portal vein could further aggravate liver damage. Oral bile salt could significantly reduce intestinal bacteria and endotoxin.

加强肠道灭菌和清洁也十分重要,卡那霉素可抑制肠道细菌,使肝内的内毒素量明显减少。

It is also very important to strengthen intestinal sterilization and cleaning. Kanamycin can inhibit intestinal bacteria and significantly reduce the amount of endotoxin in liver.

防止肾功能衰竭:由于感染、中毒、脱水、电解质失调以及高胆红素血症常导致肾脏的损害。

Prevention of renal failure: kidney damage is often caused by infection, poisoning, dehydration, electrolyte imbalance and hyperbilirubinemia.

应在充分补足液体量的同时间断应用利尿药,以利于排除毒性物质、“冲洗”沉积于肾小管内的胆栓。

It is suggested that diuretics should be used intermittently at the same time of replenishing the liquid, so as to eliminate the toxic substances and "flush" the bile embolus deposited in the renal tubules.

当少尿或无尿时,应给予大剂量呋塞米(速尿)(400~500mg/d)以及酚妥拉明(苄胺唑啉)、普萘洛尔(心得安),也可用微量泵持续静脉泵入多巴胺。

When oliguria or anuria, high-dose furosemide (furosemide) (400-500mg/D), phentolamine (Benazolin), propranolol (propranolol) should be given. Dopamine can also be continuously pumped into the vein by micro pump.

医学上称为脂肪性腹泻。

It is called fatty diarrhea in medicine.

发生出血倾向:由于肠道内缺乏胆汁或胆汁量减少,使维生素k吸收不足,影响了人体中凝血因子的形成,这样就会发生出血倾向。

Bleeding tendency: due to the lack of bile in the intestinal tract or the decrease of bile volume, vitamin K absorption is insufficient, which affects the formation of coagulation factors in the human body, which will lead to bleeding tendency.

使血中胆固醇增加:胆道阻塞后,胆汁不能正常排出,使胆汁中的胆盐滞留堆积在肝细胞内,反过来抑制了胆固醇的分解,最后使血中胆固醇增加。

Increase the cholesterol in blood: after biliary obstruction, bile can not be discharged normally, so that bile salt in bile is retained and accumulated in liver cells, which in turn inhibits the decomposition of cholesterol, and finally increases the cholesterol in blood.

饮食养生:胆道梗阻的症状

医学上称为脂肪性腹泻。It is called fatty diarrhea in medicine.由于肠道内缺乏胆汁或胆汁量减少,使维生素k吸收不足,影响了人体中凝血因子的形成,这样就会发生出血倾向。

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