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湖南地区147例原发性胆管结石主要化学成份分析
引用本文:黄贯学,钟德玝,云正芬,杨锡兰.湖南地区147例原发性胆管结石主要化学成份分析[J].中南大学学报(医学版),1986(2).
作者姓名:黄贯学  钟德玝  云正芬  杨锡兰
作者单位:湖南医学院第二附属医院外科 (黄贯学,钟德玝,云正芬),湖南医学院第二附属医院中心实验室(杨锡兰)
摘    要:本文通过对湖南地区147 例原发性胆管结石患者之结石主要化学成分(胆固醇、胆红素、钙)的定量分析,发现胆固醇系结石发生率远较全国其他地区为高。肝内结石中胆固醇系占49.12%。设想胆管结石多在肝内始发,在向下移行和增大过程之各个阶段中产生胆汁成份及理化性质的各种改变,导致各部位结石成份之差异及结石各层次中成份的变化。

关 键 词:胆结石  分析  病因学  湖南

CHEMISTRY ANALYSIS OF PRIMARY BILE DUCT STONES IN HUNAN PROVINCE
Huang Guanxue Zhong Dewu Yun Zhongfen.CHEMISTRY ANALYSIS OF PRIMARY BILE DUCT STONES IN HUNAN PROVINCE[J].Journal of Central South University (Medical Sciences)Journal of Central South University (Medical Sciences),1986(2).
Authors:Huang Guanxue Zhong Dewu Yun Zhongfen
Institution:Huang Guanxue Zhong Dewu Yun ZhongfenDepartment of Surgery,The Second Affiliated Hospital,Hunan Medical CollegeYang Xilan Central Laboratory of Second Affiliated Hospital,Hunan Medical College
Abstract:The chief constituents of primary bile duct stones in 147 patients were analyzed. They were collected from patients from different districts of Hunan Province. The result showed that the incidence of the mixed type of cholesterol stone, especially intra-hepatic stones was much higher than that in other districts of China. The authors proposed that the primary bile duct stones are formed initially in the intrahepatic duct, as the stone passes downwards and develops, the composition and physio-chemical properties of the bile changes at different levels of the bile duct. Thus, the constituents of the stones precipitated at various locations are different from each other.
Keywords:Cholelithiasis Analysis Etiology Hunan
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