胆道炎

Methods:30 patients with biliary pancreatitis were treated by LC,LC+EST and LC+fibre cholecyst endoscope.

30例胆源性胰腺炎患者经LC、LC＋EST、LC＋纤维胆道镜检查及取石术治疗。

To understand etiology, pathogenesis, pathologic changes of cholelithiasis and bile duct inflammation.

了解胆石症和胆道炎的病因，发病机制和病变。

METHODS The bile circulation,the tensity of sphincter of Oddi and the gallbladder contractibility of rabbits were determinated, the analgesic and antiinflammatory actions were studied on the corresonding pharmacogical models.

用BL-410生物实验系统测定家兔胆囊运动，胆汁流量、Oddi括约肌紧张性和胆道末端内压，并采用相应的药理学模型研究胆舒通片的抗炎、镇痛作用。

Stones in bile duct were detected in 6 patients. Nobile Duct injury caused by FIOC was noted.

FIOC未引起胆道及胆总管损伤，术后并发胰腺炎1例，可能与FIOC有关。

Some patients had suffered from obstructive jaundice, pancreatitis, bilirubinemia, alkaline phosphatase raise,γ-glutamyl transpeptidase raise and/or diameter of common bile duct exceeded 0.8 cm; and for these cases intraoperative cholangiography must be carried out. 405 cases needed T-tube insertion. The common bile duct of 105 cases was sutured without T tube. Results All cases were operated successfully.

术前确诊者，术中直接行胆总管切开胆道镜取石；术前有黄疸史、胰腺炎史和直接胆红素增高、胆系酶增高者，或胆总管在0.8 cm以上者行术中造影，明确有胆总管结石的切开胆总管胆道镜取石。405例置T管引流，105例行胆总管Ⅰ期缝合。

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。

Results:7 cases of bile leakage after LC were confirmed by ERCP,in which 6 patients were cured by duodenoscopy,1 case complicated with light pancreatitis.

结果：7例经内镜下胆道造影明确了胆漏的原因，6例经内镜治疗后胆漏痊愈，1例并发轻症胰腺炎。

Objective: To prevent ascending cholangitis after the Roux-en-Y type of hepaticoenterostomy or hepaticojejunostomy, which is often used to treat biliary obstruction resulting from malignant biliary diseases.

文摘：目的：探讨应用抗返流管行姑息性胆肠内引流，对胆道恶性肿瘤术后返流性胆管炎的防治效果。

Result:the incidence of AP went up year by year;(2)bile tract disease is the major reason,but hyperlipdemic AP should be attach importance to for its higher and higher incidence;(3)mean age of biliary AP is higher than alcohlolic and hyperlipdemic AP;(4)the difference of sex is significant in biliary AP and alcohlolic AP;(5)the incidence of local omplications is lower than alcohlolic and hyperlipdemic AP,but the difference is of no significance in view of systemic complications;(6)lungis of the most liability for dysfunction,and renal dysfunction is most closely related to death ;(7)ESS is associated with AP and related to the severity and prognosis .

结果表明：(1)急性胰腺炎发病率呈逐年上升趋势；(2)胆道疾病仍是急性胰腺炎的首要病因，高脂血症性胰腺炎明显增多，应受到重视；(3)胆源性胰腺炎患者年龄高于酒精性和高血脂性等其它原因的胰腺炎；(4)性别差异在胆源性、酒精性胰腺炎中显著；(5)胆源性胰腺炎出现局部并发症几率少于酒精性和高血脂性胰腺炎，而在全身并发症上无明显差异；(6)重症急性胰腺炎中，肺脏最易发生功能障碍，肾功能障碍与死亡关系最密切；(7)急性胰腺炎易伴发正常甲状腺病态综合症，并与其严重程度和预后相关。

The other causes included stenosis of the sphincter of Oddi, focalized pancreatitis of the head of pancreas, traumatic stricture of bile duct and stricture of bilioenteric anastomosis (25％), and bile duct obstruction due to tumor (5％).

分析1996—2006年收治的100例多次胆道手术病人的临床资料，对其原因进行分析。结果 65％的胆道再手术原因是结石复发或残留，括约肌狭窄、胰头部肿块型胰腺炎、胆道损伤后狭窄和胆肠吻合口狭窄占26％，胆道系统肿瘤占5％。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。