Bile duct stricture: bile duct stones can not only obstruct the flow of bile duct, but also cause inflammation or ulcer of bile duct wall due to mechanical stimulation; surgical trauma or angiographic examination can cause injury, scar and stricture to the bile duct wall, causing infection and inflammation due to poor bile flow.
2. What symptom does cholangitis have? Cholangitis has a very special performance is pain, the second is fever, the third is jaundice.
Once the bile duct has inflammation, the bile flow rate in the duct will be very small, resulting in bile secretion and severe biliary colic.
At this time, the need for treatment, inflammation, will stop the pain, otherwise it will be very serious.
If there are stones in the bile duct, or if the duct is malformed, surgery is needed.
In this blood examination, we can see that white blood cells are elevated, and neutrophils are also elevated.
This is a marker test for cholangitis.
So there will be a lot of gas in the abdomen, color Doppler ultrasound examination will not see clearly, interference is very big, see gallbladder, can not see bile duct, need to use magnetic resonance imaging for examination.
These three methods are the main methods to examine cholangitis.
Bile duct inflammation how to treat 1, chronic cholangitis with surgery, remove obstruction factors, ensure smooth drainage of biliary tract.
In the acute attack, the infection should be controlled first, and then the operation should be performed after the condition is stable.
The bile duct was cut to remove stones or Ascaris lumbricoides, and T-tube drainage was performed.
If there is stenosis of Oddi sphincter, sphincteroplasty can be performed. If there is obstruction of the lower end of the common bile duct, choledochoduodenostomy or Roux-Y choledochojejunostomy can be used for internal drainage.
If the stricture of intrahepatic bile duct was cut and the calculus was removed, Roux-Y cholangiojejunostomy was performed.
Reflux cholangitis is easy to occur after Oddi sphincteroplasty and cholangioduodenostomy.
But in the early stage of the disease, acute simple cholangitis, the condition is not too serious, can first use non-surgical methods.
If the non-surgical treatment is ineffective and the simple cholangitis develops into acute obstructive suppurative cholangitis, surgical treatment should be adopted in time.
The non-surgical treatment includes the application of antispasmodic, analgesic and cholagogic drugs. Among them, 50% magnesium sulfate solution often has better effect, the dosage is 30-50ML once or 10ml three times a day; gastrointestinal decompression is also often used; the combined application of large dose broad-spectrum antibiotics is very important.
If there is no significant improvement in the condition after 12-24 hours of non-surgical treatment, surgery should be carried out immediately.
Even if shock is not easy to correct, surgical drainage should be sought.
The disease is more serious at the beginning, especially the cases with deep jaundice should be operated on in time.
It should be noted that the drainage tube must be placed on the proximal side of the obstruction. The drainage at the distal side of the obstruction is ineffective and the condition cannot be relieved.
Walnut, peanut kernel, cashew and other food rich in fat should also be used less, and should not be too full.
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3、黄疸怎么检查间接胆红素升高为主的黄疸主要见于各类溶血性疾病、新生儿黄疸等疾病。3. Jaundice how to check indirect bilirubin elevated jaundice is mainly seen in
1.3、其他原因临床上有少数病例既无胆汁滞留亦无细菌感染而为其他的原因。1.3. Other causes: there were a few cases with no bile retention or bacterial infection, wh
所以,胆囊炎病人常常会因吃了油腻和高脂肪的食物无法消化,而造成右上腹剧痛,导致胆囊炎病复发,从而使病情加重。Therefore, cholecystitis patients will often eat greasy
文章目录一、肝脏胆汁分泌时间1. 肝脏胆汁分泌的时间2. 什么是胆汁3. 肝脏胆汁的分泌过程是怎样的二、肝脏胆汁有成份是什么三、肝脏分泌胆汁有什么作用肝脏胆汁分泌时间1、
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