胆管炎

Results 25 cases with gailsone, 7 cases with cholangiocarcinoma, 6 cases with carcinoma of head of pancreas, 4 cases with carcinoma of ampulla, 4 cases with cholangitis and 4 cases without disease.

结果 胆道结石25例，胆管癌7例，胰头癌6例，壶腹部癌4例，胆管炎5例，4例未显示异常。

Many authors report that primary sclerosing cholangitis cannot be easily distinguished from primary sclerosing cholangiocarcinoma in terms of histology.

不少作者报告原发性硬化性胆管炎与原发性硬化性胆管癌在组织学上不易区分。

Objective To study cholangitis of intrahepatic stone.

目的 研究肝内胆管结石并存的胆管炎。

Objective To summarize and elevate the nursing level of the acute obstructed suppurate cholangitis with diabetes.Methods Nine cases of AOSC with diabetes were collected in recent 5 years and perioperative observation and nursing were analysed retrospectively,especially aimed at hyperglycemia.

目的 总结合并糖尿病的急性化脓性胆管炎(acute obstructive suppurative cholangitis，AOSC)的围手术期的护理经验，提高护理水平方法 9例合并糖尿病的急性化脓性胆管炎患者，不同病情和治疗阶段采取有针对性的护理措施，特别是针对高血糖采取有效的护理措施。

T tube drainage was able to decrease bile viscosity effectively.The number of bacteria decreased significantly until 21 postoperative days.The time that T tube is drawn out is on 14 postoperative days.Bacteria may exist in bile continuously and play a role on relapse of choledochitis and bile duct stone.

胆汁中的细菌和粘度升高在胆管结石形成中起协同作用。T管引流能有效地降低胆汁粘度，而胆汁中细菌量在引流术后第3周才有显著减少，临床2周时拨除T管细菌可潜伏下来，对胆管炎和胆管结石的复发可能起作用。

RESULTS: Before 1982, there were 178 patients received choledochoduodenostomy, and postoperative cholangitis or blindloop syndrome occurred in 36 cases for anastomotic stricture, 4 of which died.

结果：1982年以前178例，其中36例因吻合口狭窄致胆管炎或胆总管盲端综合征，其中4例死亡，死亡率为2.2％（4／178）；1983后强调低位大口径吻合，其中5例出现胆管炎或胆总管盲端综合征，无死亡病例。

As a result, the incidence of clinical cholangitis, pancreatitis, choledocholithiasis, choledochocyst and biliary cancer was statistically higher in group A than group N.

结果：胆管炎、胆管囊肿、胆系癌和慢性胰腺炎在APBDU组的发生率显著增高。

Microscopically, this bile duct in a case of sclerosing cholangitis is surrounded by marked collagenous connective tissue deposition.

显微镜下可见硬化性胆管炎的胆管被大量的纤维组织包绕而形成了胆管阻塞。

PSC is a kind of rare and unknown disease due to stenosis cholangitis.Its main symptoms is diffuse fibrotic incrassation and duct stenosis in intrahepatic and extrahepatic bile duct system..

原发性硬化性胆管炎原发性硬化性胆管炎（primary sclerosing cholangitisPSC）是一种少见的、原因未明的胆管炎症性狭窄性疾病。

Results: The main reasons of re-operation in congenital choledochus cyst were calculogenesis, refluxing cholangeitis, stenostomia, endo-, ectobile duct residual cyst, stenosis of bile duct in hepatic hilum, residual cyst canceration, which accounts for 24 cases (63%), 21 cases (55%), 12 cases (31.6%), 11 cases (29%), 8 cases (21%), 2 cases (5%), respectively.

结果：先天性胆总管囊肿再次手术的主要原因是结石形成24例(63%)；其次为反流性胆管炎21例(55%)；再次为吻合口狭窄12例(31.6%)；肝内外胆管残余囊肿11例(29%)；肝门部胆管狭窄8例(21%)；残余囊肿癌变2例(5%)。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。