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[机械性黄疸的诊断与治疗]

[Diagnosis and treatment of mechanical jaundice].

作者信息

Baskakov V A, Kutiakov M G, Ermolaev V A

出版信息

Vestn Khir Im I I Grek. 1987 Oct;139(10):34-7.

PMID:3452254
Abstract

The article generalizes an experience with the treatment of 276 patients with mechanical jaundice. The correct diagnosis was made in 75% of cases by routine clinical methods, while laparoscopy gave the correct diagnosis in 92% of the patients. Benign jaundice was found in 218 patients, 216 of them being operated upon. Eighteen patients died after operation (8.3%). Most patients were subjected to associated operations. Terminolateral choledochal anastomosis which was used in 22 patients is positively estimated. Tumors were responsible for jaundice in 58 patients (21%). All of these patients were operated upon. Eight patients died after operation (13.8%).

摘要

本文总结了276例机械性黄疸患者的治疗经验。通过常规临床方法,75%的病例得以正确诊断,而腹腔镜检查使92%的患者获得了正确诊断。218例患者为良性黄疸,其中216例接受了手术。18例患者术后死亡(8.3%)。大多数患者接受了联合手术。对22例患者采用的端侧胆总管吻合术给予了肯定评价。58例患者(21%)的黄疸由肿瘤引起。所有这些患者均接受了手术。8例患者术后死亡(13.8%)。

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