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肝总管瘢痕性狭窄1例

Chinese Imaging Journal of Integrated Traditional and Western Medicine(2013)

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Abstract
<正>男,43岁,2012年1月因胆囊结石在当地医院行腹腔镜胆囊切除术失败,遂即改为开腹手术。术后3d巩膜发黄、肝功能异常,并行第2次开腹手术(具体情况不详)。2个月复查肝功无明显异常,停药。7月底出现乏力、进食后上腹不适,实验室检查肝功转氨酶明显升高,血胆红素异常。为进一步诊治来我院,患者精神食欲不佳,尿量较常减少、呈茶色,大便干燥、色发白3d,体质量减轻约1kg。查体:体温不
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