Herfarth H, Schölmerich J
Klinik und Poliklinik für Innere Medizin I, Universität Regensburg.
Ther Umsch. 1998 Feb;55(2):104-9.
Obstructive jaundice is a sign of intra- or posthepatic blockage of bile flow. This diagnosis has to be differentiated from various other diagnoses such as disorders of bilirubin metabolism or hepatocellular causes of jaundice. An accurate evaluation of the past medical history and clinical examination of the patient can already establish obstruction as the cause of jaundice in most cases. For prevention of a cholangitis further imaging procedures should focus on rapidly establishing the cause and the location of obstruction. Further therapeutic procedures are dependent on the type of obstruction and the condition of the patient. Most importantly there should be a decompression of the biliary tree with ES or PTBD.
梗阻性黄疸是肝内或肝后胆汁流动受阻的体征。该诊断必须与其他各种诊断相鉴别，如胆红素代谢紊乱或肝细胞性黄疸病因。对患者既往病史的准确评估和临床检查在大多数情况下即可确定梗阻为黄疸病因。为预防胆管炎，进一步的影像学检查应着重于迅速确定梗阻的病因和部位。进一步的治疗程序取决于梗阻类型和患者状况。最重要的是，应通过内镜下括约肌切开术（ES）或经皮肝穿胆管引流术（PTBD）对胆道系统进行减压。
