论文部分内容阅读
原发性硬化性胆管炎是一种病因不明的、进行性炎症纤维化引起的、以慢性胆汁淤滞为主要临床表现的胆管系疾患。本病在欧美报道较多,在亚洲地区与胆囊炎、胆石症相比,是少见胆道疾患。我科收治1例,现报告如下。 患者,男性,62岁。因发热10天,皮肤瘙痒,尿黄,陶土样便8天入院。缘于10天前,无明显诱因出现发热(体温未测),伴周身乏力,恶心,呕吐胃内容物数次,呈非喷射性。2天后出现皮肤瘙痒,尿黄如浓茶水样,排陶土样便。在当地诊为“肝炎”给予保肝对症治疗不见好转来我院。查体体温36.3℃,脉搏74次/分,呼吸18次/分,血压16.0/11.0kPa(120/82.5mmHg),面色萎黄,皮肤、巩膜明显黄染,周身皮肤均见抓痕。心肺正常。腹平软,肝剑下3.5cm,右肋下2.0cm,质中,缘钝,表面光滑,无
Primary sclerosing cholangitis is an unexplained, progressive inflammatory fibrosis caused by chronic cholestasis as the main clinical manifestations of biliary duct disorders. The disease is more reported in Europe and the United States, in Asia and cholecystitis, cholelithiasis compared to rare biliary disorders. I received 1 cases of subjects, are as follows. Patient, male, 62 years old. Due to fever 10 days, itchy skin, urine yellow, clay-like will be admitted to hospital for 8 days. Due to 10 days ago, no obvious incentive to fever (body temperature not measured), with the whole body fatigue, nausea, vomiting stomach contents several times, was non-jet. 2 days after the skin itching, urine yellow like thick tea water, row clay-like. In the local clinic as “hepatitis” to give liver protection symptomatic treatment did not improve to our hospital. Body temperature 36.3 ℃, pulse 74 beats / min, breathing 18 beats / min, blood pressure 16.0 / 11.0kPa (120 / 82.5mmHg), pale complexion, the skin, sclera significantly yellow dye, all skin see scratches. Cardiopulmonary normal. Abdomen soft, liver sword 3.5cm, right rib 2.0cm, quality, the edge of blunt, smooth surface, no