Jaundice after cholecystectomy

Yan Xong; et al

doi:10.13406/j.cnki.cyxb.1999.03.031

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Jaundice after cholecystectomy

更新时间：2024-01-17

- Jaundice after cholecystectomy
- Journal of Chongqing Medical University Issue 3, Pages: 302-304(1999)
- 作者机构：
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- DOI：10.13406/j.cnki.cyxb.1999.03.031
  CLC： R657.4
- Published：1999，
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[1]闫雄,向志,方开先.胆囊切除术后黄疸[J].重庆医科大学学报,1999(03):302-304.

Yan Xong, et al. Jaundice after cholecystectomy. [J]. Journal of Chongqing Medical University (3):302-304(1999)
[1]闫雄,向志,方开先.胆囊切除术后黄疸[J].重庆医科大学学报,1999(03):302-304. DOI： 10.13406/j.cnki.cyxb.1999.03.031.

Yan Xong, et al. Jaundice after cholecystectomy. [J]. Journal of Chongqing Medical University (3):302-304(1999) DOI： 10.13406/j.cnki.cyxb.1999.03.031.

摘要

目的：分析胆囊切除术后产生黄疸的原因及预防措施。方法：分析我院1992年8月至1998年8月1832例胆囊切除术病例。结果：经B超、CT、手术、肝功证实：①胆道损伤造成的黄疸7例；②胆道内残余结石所至黄疸8例；③引流物造成黄疸4例；④肝细胞性黄疸12例。结论：明道损伤、胆道残余结石、不恰当的引流及术前肝功不良等是胆囊切除术后黄疸常见的原因；因此，合理的手术方式、术中必要的检查、恰当的引流及围手术期保肝等是预防胆囊切除术后黄疸的措施。

Abstract

To analyse causes and preventive measures of jaundice after cholecystectomy. Method: A total of 1832 casesof cholecystectomy in our hospital during 6 year period from August 1992 to August 1998 was investigated.Results: From B-mode ultrasound scans

CT scans

operations and liver function tests

there were: (1) 7 casesaundice caused injury of the biliary tract; (2) 8 cases jaundice caused remaining gallbladder stones in the biliarytract; (3) 4 cases jaundice caused improper drainage; and (4) 12 cases jaundice caused impairment of hepatocytes.Conclusions: the most common causes of jaundice after cholecystectomy are injury of the biliary tract

remaininggallbladder stones in the biliary tract

improper drainage and impairment of liver functions. Methods forpreventing jaundice after cholecystectomy include fair operatior

necessary intraoperative checking

properdrainage and protection against liver function impairment in the prioperative period.

关键词

胆囊切除术黄疸

Keywords

cholecystectomyJaundice

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