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一名四肢瘫痪患者的胆闪烁造影检查结果：胆囊显影延迟及胆总管扩张。

A quadriplegic patient's cholescintigraphic findings: delayed gallbladder visualization and common bile duct dilation.

作者信息

Shih W J, Magoun S, Lu G

机构信息

Nuclear Medicine Service, Dept of Veterans Affairs Medical Ctr, Lexington, KY 40511-1093, USA.

出版信息

J Natl Med Assoc. 1996 Feb;88(2):113-4.

PMID:8776068
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2608018/
Abstract

A Tc-99m DISIDA cholescintigraphic study of a 37-year-old patient with a 20-year history of quadriplegia demonstrated dilation of the common bile duct and delayed gallbladder visualization. A concurrent sonographic study showed an enlarged gallbladder with stones and dilation of the common bile duct. These findings were proved by autopsy. Quadriplegia secondary to a high level of spinal cord injury may result in gallbladder dysfunction.

摘要

对一名有20年四肢瘫痪病史的37岁患者进行的锝-99m二异丙基乙酰胺肝胆闪烁造影研究显示胆总管扩张，胆囊显影延迟。同时进行的超声检查显示胆囊增大伴有结石，胆总管扩张。这些发现经尸检证实。高位脊髓损伤继发的四肢瘫痪可能导致胆囊功能障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602f/2608018/ef33c238763c/jnma00379-0066-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602f/2608018/ef33c238763c/jnma00379-0066-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602f/2608018/ef33c238763c/jnma00379-0066-a.jpg

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A quadriplegic patient's cholescintigraphic findings: delayed gallbladder visualization and common bile duct dilation.一名四肢瘫痪患者的胆闪烁造影检查结果：胆囊显影延迟及胆总管扩张。
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本文引用的文献

1
Gastrointestinal pathology in patients with chronic renal failure associated with spinal cord injury.慢性肾衰竭合并脊髓损伤患者的胃肠病理学
Am J Gastroenterol. 1982 Aug;77(8):562-4.
2
Abnormal 99mTc-PIPIDA scans mistaken for common duct obstruction.异常的99mTc-PIPIDA扫描被误诊为胆总管梗阻。
Radiology. 1982 Jul;144(2):373-5. doi: 10.1148/radiology.144.2.7089293.
3
Spinal cord injury is a risk factor for gallstone disease.脊髓损伤是胆结石疾病的一个风险因素。
Gastroenterology. 1987 Apr;92(4):966-8. doi: 10.1016/0016-5085(87)90971-1.
4
Gallbladder emptying response to sham feeding in humans.人类假饲时胆囊排空反应。
Gastroenterology. 1986 Jun;90(6):1854-7. doi: 10.1016/0016-5085(86)90252-0.
5
Feline cholescintigraphy. Studies on role of cholecystokinin in regulation of gallbladder function.猫胆闪烁显像。关于胆囊收缩素在胆囊功能调节中作用的研究。
Dig Dis Sci. 1990 Sep;35(9):1098-104. doi: 10.1007/BF01537581.
6
Gallbladder contractility in patients with spinal cord injuries: a sonographic investigation.脊髓损伤患者的胆囊收缩功能：一项超声检查研究。
AJR Am J Roentgenol. 1990 Mar;154(3):521-4. doi: 10.2214/ajr.154.3.2106213.