胆囊胆管炎

biliary pancreatitis may divided two types of cholecystic pancreatitis and cholangeitic pancreatitis and may divided of non-obstructive or obstructive at treatment.

在临床上急性胆源性胰腺炎可分为急性胆囊源性和急性胆管源性两种类型，在治疗上有非梗阻性和梗阻性之分。

We report a 67-year-old female admitted to our hospital with intermittent fever and upper abdominal pain. She had undergone cholecystectomy and choledocholithotomy 20 years previously. More recently, she had recurrent intrahepatic stones and underwent repeated choledocoscopic lithotiomy and endoscopic lithotripsy.

我们报告一位六十七岁女性因间歇性的发烧及上腹痛而住院，患者曾因胆及胆道结石在二十年前接受了胆囊切除术、胆道取石术，近几年又因复发的瞻道结石及胆管炎接受多次的胆道镜取石术及内视镜取石术。

When B-ultrasound and X-ray were used combinedly,diagnosis rate and accuracy were elevated.

合并急、慢性胆囊炎17例，其中胆囊积液、积脓5例；急性梗阻性化脓性胆管炎3例。

Results:In this group there were respectively 8 calculi of intrahepatic duct,9 calculi of extrahepatic duct,4 stenosis of bile duct,3 duodenal papillitis,2 excess residual cystic duct and 2 stubble cholecystitis,which were managed surgically.There were respectively 1 duodenal diverticulum,10 bile back flow gastritis,5 functional dyspepsia,1 chronic pancreatitis and 1 ulcer,which were cured via expectant treatment.

结果：本组肝内胆管结石8例，肝外胆管结石9例，胆管狭窄4例，十二指肠乳头炎3例，胆囊管残留过长2例，残株胆囊炎2例，分别采用外科手术治疗；十二指肠憩室1例，胆汁返流性胃炎10例，功能性消化不良5例，慢性胰腺炎1例，溃疡病1例，采用内科保守治疗好转。

Result Reoperative reasons include unresected cysts canceraztion (3 cases);unresected cysts calculogenesis (4 cases);anastomotic stoma between gut and cyst or bile duct stenosis (6 cases);reflux cholangitis(1 case);recurrence cholecystitis (6 cases).

结果再次手术的原因是囊肿切除发生癌变3例；囊肿未切除形成结石4例；囊肿或胆管与肠道吻合口狭窄6例；返流性胆管炎1例；未切除胆囊及复发性胆囊炎6例。

I can not make it blossom and suits me

我不能让树为我开花

When temperatures are above approximately 80 °C discolouration of the raceways or rolling elements is a frequent feature.

当温度高于 80 °C 左右时，滚道或滚动元件褪色是很常见的特征。