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2001\u5e74\u533b\u5e08 \u8d44\u683c\u5b9e \u8df5\u6280\u80fd \u8003\u8bd5\uff08 \u4e34\u5e8a\u7c7b \uff09
\u75c5\u4f8b\u5206 \u6790\u8bd5\u9898 \u53ca\u4e3b\u8003 \u533b\u5e08\u8bc4 \u5206\u8981\u70b9
\u7f16\u53f7\uff1a031
\u75c5 \u4f8b \u6458 \u8981 \uff1a
\u7537\u6027\uff0c50\u5c81\uff0c\u4e3b\u56e0\u95f4\u6b47\u53d1\u4f5c\u6027\u8179\u75db\uff0c\u9ec4\u75b8\uff0c\u53d1\u70ed 3 \u4e2a\u6708\u800c\u5165\u9662
\u60a3\u80053\u4e2a\u6708\u524d\u65e0\u660e\u663e \u56e0\uff0c\u9910\u540e\u7a81\u7136\u4e0a\u8179\u75db\uff0c\u5411\u540e\u80cc\u3001\u53cc\u80a9\u90e8\u653e\u5c04\uff0c \u5267\u70c8\uff0c\u4f34
\u8bf1
\u8f83
\u53d1\u70e7
38\u2103\u5de6\u53f3\uff0c\u6b21\u65e5\u53d1\u73b0\u5de9\u819c\u3001\u76ae\u80a4\u9ec4\u67d3\uff0c\u4e8e\u5f53\u5730\u533b\u9662\u5e94\u7528\u6297\u751f\u7d20\u53ca\u5229\u80c6\u836f\u7269\u540e\uff0c\u75c7\u72b6\u7f13\u89e3\u3002\u968f
\u540e2\u4e2a\u6708\u53c8\u6709 \u4f3c \u4f5c
\u7c7b \u53d12\u6b21\uff0c\u4ecd\u884c\u6d88\u708e\uff0c\u5229\u80c6\u3001\u4fdd\u809d\u6cbb\u7597\uff0c\u75c7\u72b6\u51cf\u8f7b\u3002\u4e3a\u6c42\u8fdb\u4e00\u6b65\u660e\u786e\u8bca\u65ad
\u201c
\u201d
\u548c\u6cbb\u7597\u6765\u6211\u9662\u3002\u534a\u5e74\u524d\u56e0 \u6162\u6027\u80c6\u56ca\u708e\u3001\u80c6\u56ca\u7ed3\u77f3 \u884c\u80c6\u56ca\u5207\u9664\u672f\u3002
\u65e0\u70df\u9152\u55dc\u597d\uff0c\u65e0\u809d\u708e\u3001 \u6838\u75c5\u53f2
\u7ed3
\u67e5\u4f53\uff1a\u4e00\u822c\u60c5\u51b5\u597d\uff0c\u53d1\u80b2\u8425\u517b\u4e2d\u7b49\uff0c\u795e\u6e05\uff0c\u5408\u4f5c\u3002\u5de9\u819c\u3001\u76ae\u80a4\u9ec4\u67d3\uff0c\u6d45\u8868\u6dcb\u5df4\u7ed3\u65e0\u80bf\u5927\uff0c
\u5934\u9888\u5fc3\u80ba\u65e0\u5f02\u5e38\u3002\u8179\u5e73\u8f6f\uff0c\u809d\u813e\u672a\u89e6\u53ca\uff0c\u65e0\u538b\u75db\u6216\u53cd\u8df3\u75dbMurphy\u5f81(-),\u809d\u533a\u65e0\u53e9\u75db\uff0c\u79fb\u52a8
\u6027 \u97f3(-)\uff0c\u80a0 \u97f3\u6b63\u5e38
\u9e23
\u5b9e\u9a8c\u5ba4\u68c0\u67e5\uff1aWBC5.0\u00d7109/L, BHb161g/L\uff0c\u5c3f\u80c6 \u7d20
\u7ea2(-)\uff0c TBIL(\u603b\u80c6\u7ea2\u7d20)29.8\u00b5
mol/L, (\u6b63\u5e38\u503c 1.7-20.00), DBIL(\u76f4\u63a5\u80c6\u7ea2\u7d20)7.3\u00b5mol/L(\u6b63\u5e38\u503c<6.00)
B\u8d85\uff1a\u809d\u810f\u5927\u5c0f\u5f62\u6001\u6b63\u5e38\uff0c\u5b9e\u8d28\u56de\u58f0\u6b20\u5747\u5300\uff0c\u4e3a\u8102\u80aa\u809d\u4e4b\u8868\u73b0\uff0c\u80c6\u603b\u7ba1\u5185\u5f84\u7ea6
1.2cm\uff0c\u53ef\u7591 \u5927\uff0c\u672a
\u77f3\u5f71\uff0c\u4f46\u672a\u63a2\u53ca\u5341\u4e8c\u6307\u80a0\u540e\u6bb5\u53ca\u672b\u7aef\u80c6 \u7ba1
\u6269
\u89c1\u7ed3
\u603b
\u65f6\u95f4\uff1a\u51c6\u59075 \u5206\u949f\uff0c\u53e3\u8ff0\u56de\u7b5410 \u5206\u949f\u3002
\u8bc4\u5206\u8981\u70b9\uff1a(\u603b\u520620 \u5206)
\u4e00\u3001\u8bca\u65ad\u53ca\u8bca\u65ad\u4f9d\u636e(8\u5206)
(\u4e00)\u8bca\u65ad
\u6897\u963b\u6027\u9ec4\u75b8\uff1a\u80c6\u603b\u7ba1\u7ed3\u77f3
4\u5206
(\u4e8c)\u8bca\u65ad\u4f9d\u636e
1.\u95f4\u6b47\u53d1\u4f5c\u6027\u8179\u75db\uff0c\u4f34\u6709\u9ec4\u75b8\u3001\u53d1\u70e7
1\u5206
2.\u9910\u540e \u4f5c\u4e0a\u8179\u75db\uff0c\u5411\u540e\u80cc\u53ca\u80a9\u90e8\u653e\u5c04\uff0c\u4e3a\u80c6
\u53d1
\u7ede
\u75db\u4e4b\u8868\u73b0
1\u5206
3.\u6709\u80c6
\u77f3\u75c5\u53f2
\u56ca\u7ed3
1\u5206
4.\u5b9e\u9a8c\u5ba4\u68c0\u67e5\u6709\u8f7b\u5ea6\u9ec4\u75b8\u6240\u89c1
0.5\u5206
5.B\u8d85\u793a\u80c6\u603b\u7ba1\u53ef\u7591\u6269\u5927
0.5\u5206
\u4e8c\u3001 \u522b \u65ad
\u9274 \u8bca(5\u5206)
1.\u5185\u79d1\u9ec4\u75b8\u7684\u75c5\u56e0\uff0c\u5982\u809d\u7ec6\u80de\u6027\u3001\u6eb6\u8840\u6027\u3001\u836f\u7269\u6027\u9ec4\u75b8 2\u5206
2.\u80bf\u7624\uff1a\u80f0\u5934\u764c\u3001\u58f6\u8179\u5468\u56f4\u764c\uff0c\u4ee5\u6e10\u8fdb\u6027\u65e0\u75db\u6027\u9ec4\u4e3a\u4e3b 3\u5206
\u4e09\u3001\u8fdb\u4e00\u6b65\u68c0\u67e5(4\u5206)
1.\u53d1\u4f5c\u65f6\u91cd\u590d\u8840\u5c3f\u4fbf\u5e38\u89c4\u53ca\u809d\u529f\u3001\u80c6\u7ea2\u7d20\u68c0\u67e5
2\u5206
2.\u5f71\u50cf\u5b66 \u67e5\uff1a
\u68c0
CT\u3001 \u9910
1\u5206
3.\u5fc5\u8981\u65f6\u4ee5 ERCP\u6216\u5185\u955c\u8d85\u58f0\u534f\u52a9
1\u5206
\u56db\u3001\u6cbb\u7597\u539f\u5219(3\u5206)
- 82 -
1.\u5f00\u8179\u63a2\u67e5 \u603b\u80c6\u7ba1\u5207\u5f00\u63a2\u67e5\uff0c\u5f15\u6d41
2\u5206
2.\u6216 EPT\u624b\u672f
1\u5206
\u5907\u6ce8\uff1a\u603b\u80c6\u7ba1\u4e0b\u7aef\u7ed3\u77f3\uff0c\u7ecfETP \u5207\u5f00\u53d6\u77f3
\u56fd\u5bb6\u533b\u5b66\u8003\u8bd5\u4e2d\u5fc3 \u5370\u5236
- 83 -
2001\u5e74\u533b\u5e08 \u8d44\u683c\u5b9e \u8df5\u6280\u80fd \u8003\u8bd5\uff08 \u4e34\u5e8a\u7c7b \uff09
\u75c5\u4f8b \u5206\u6790\u8bd5 \u9898\u53ca\u4e3b \u8003\u533b\u5e08 \u8bc4\u5206\u8981 \u70b9
\u7f16\u53f7\uff1a032
\u75c5 \u4f8b \u6458 \u8981 \uff1a
\u5973\u6027\uff0c61\u5c81\uff0c\u5168\u8eab\u76ae\u80a4\u9ec4\u67d3\uff0c\u5927\u4fbf\u989c\u8272\u53d8\u6d45\u8fd1\u4e00\u4e2a\u6708\u5165\u9662\u3002
1\u6708\u524d\u65e0\u660e\u663e \u56e0\uff0c\u51fa \u660e\u663e\u9ec4\u75b8\uff0c\u76ae\u80a4 \u75d2\uff0c\u4f34\u6709 \u5ea6\u8179\u75db\uff0c\u65e0\u660e\u663e
\uff0c \u5bf9\u75c7
\u8bf1
\u73b0
\u7619
\u8f7b
\u53d1\u70ed \u7ecf
\u6cbb\u7597\u540e\u5373\u7f13\u89e3\uff0c\u53cd\u590d\u53d1\u4f5c\u65f6\u5c3f\u8272\u6df1\u9ec4\uff0c\u5927\u4fbf\u989c\u8272\u53d8\u6d45\uff0c\u4f53\u91cd\u3001\u98df\u6b32\u3001\u7761\u7720\u65e0\u660e\u663e\u53d8\u5316\u30026 \u5e74\u524d
\u66fe\u56e0\u80c6\u56ca\u7ed3\u77f3\u884c\u80c6\u56ca\u5207\u9664\u672f\uff0c\u672f\u540e\u6062\u590d\u987a\u5229\u3002
\u67e5\u4f53\uff1a\u53d1\u80b2\u8425\u517b\u6b63\u5e38\uff0c\u5de9\u819c\u3001\u76ae\u80a4\u660e\u663e\u9ec4\u67d3\uff0c\u6d45\u8868\u6dcb\u5df4\u7ed3\u65e0\u80bf\u5927\uff0c\u5fc3\u80ba\u6b63\u5e38\uff0c\u4e0a\u8179\u90e8\u53ef
\u624b\u672f\u7622\u75d5\uff0c\u8179\u5e73\u5766\uff0c\u672a \u80a0\u578b\u8815\u52a8\u6ce2\uff0c \u7a81\u4e0b
\u75db\uff0c\u65e0\u53cd\u8df3\u75db\u6216\u808c \u5f20\uff0c\u809d\u813e\u672a\u53ca\uff0c
\u89c1
\u89c1
\u5251
\u8f7b\u538b
\u7d27
\u672a\u626a\u53ca\u5305\u5757\uff0cMurphy\u5f81(-)\uff0c\u65e0\u79fb\u52a8\u6027 \u97f3\uff0c\u80a0 \u6b63\u5e38\u3002
\u6d4a
\u9e23
\u672c\u9662B\u8d85\uff1a\u809d\u5185\u80c6\u7ba1\u6269\u5f20\uff0c\u76f4\u5f84 0.4-0.6cm\uff0c\u809d \u7ba1\u76f4\u5f84
\u603b
0.8cm\uff0c\u80c6 \u7ba1\u5185\u672a
\u603b
\u89c1\u7ed3
\u77f3\u3002
\u5b9e\u9a8c\u5ba4\u68c0\u67e5\uff1aWBC11.4\u00d7109/L, HGB134g/L, \u4e2d\u6027\u7c92 \u7ec6\u80de78%\uff0c\u5c3f\u80c6 \u7d20
\u7ea2
6mg/dl.GGT 252IU/L, TBIL 233\u00b5mol/L, BDIL 141.2\u00b5mol/L\u3002
\u65f6\u95f4\uff1a\u51c6\u59075 \u5206\u949f\uff0c\u53e3\u8ff0\u56de\u7b5410 \u5206\u949f\u3002
\u8bc4\u5206\u8981\u70b9\uff1a(\u603b\u520620 \u5206)
\u4e00\u3001\u8bca\u65ad\u53ca\u8bca\u65ad\u4f9d\u636e(8\u5206)
(\u4e00)\u8bca\u65ad
\u6897\u963b\u6027\u9ec4\u75b8\u5f85\u67e5\uff1a\u80c6\u9053\u80bf\u7624
2\u5206
\u80c6\u9053\u7ed3\u77f3\u5f85\u9664\u5916
2\u5206
(\u4e8c)\u8bca\u65ad\u4f9d\u636e
1.\u9ec4\u75b8\u4f34\u6709\u5927\u4fbf\u989c\u8272\u53d8\u6d45
1\u5206
2.\u8840\u6e05\u76f4\u63a5\u80c6\u7ea2\u7d20(DBIL)\u5347\u9ad8\uff0c\u5c3f\u80c6\u7ea2\u7d20\u9633\u6027
1\u5206
3.B\u8d85\u793a\u809d\u5185\u80c6\u7ba1\u6269\u5f20
1\u5206
4.\u80c6\u56ca\u7ed3\u77f3\u624b\u672f\u53f2\uff0c\u9ec4\u75b8\u4f34\u6709\u8f7b\u5ea6\u8179\u75db
1\u5206
\u4e8c\u3001 \u522b \u65ad
\u9274 \u8bca(5\u5206)
1.\u5185\u79d1\u9ec4\u75b8\u75c5\u56e0\uff0c\u7600\u80c6\u6027\u809d\u708e\u3001\u75c5\u6bd2\u6027\u809d\u708e
2\u5206
2.\u80c6\u9053\u708e\u75c7\u6216\u7ed3\u77f3
2\u5206
3\uff0e\u809d\u80f0\u80bf\u7624
1\u5206
\u4e09\u3001\u8fdb\u4e00\u6b65\u68c0\u67e5(4\u5206)
1.\u5f71\u50cf\u5b66 \u67e5\uff1a
\u68c0
CT\u6216 MRI
2\u5206
2.\u5fc5\u8981\u65f6\u4ee5 PTC (\u76ae \u809d\u80c6\u9053\u9020\u5f71
\u7ecf \u7ecf
)\u534f\u52a9
2\u5206
\u56db\u3001\u6cbb\u7597\u539f\u5219(3\u5206)
- 84 -
of 00

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