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诊断为肝炎的梗阻性黄疸95例原因分析
引用本文:章华光.诊断为肝炎的梗阻性黄疸95例原因分析[J].世界华人消化杂志,1997,5(2):106-107.
作者姓名:章华光
作者单位:200137,上海市,第七人民医院传染科.
摘    要:目的分析引起梗阻性黄疸的常见原因.方法根据临床特征、相关实验室报告、B超和CT之影像学检查对我科于1987-1995年的8年间确诊的95例梗阻性黄疸进行了病因分析.结果梗阻性黄疸95例中,53例为良性梗阻(558%),42例为恶性梗阻(442%).良性梗阻中以胆结石、胆虫症和胆道感染居多(773%),恶性梗阻中以胰腺癌、肝外胆管癌和胆囊癌居多(642%).恶性梗阻的平均发病年龄(476岁)比良性梗阻(343岁)大.B超对良性梗阻的阳性率为905%(48/53),恶性梗阻为952%(40/42).CT对良性和恶性梗阻分别为829%(34/41)和933%(28/30).结论临床特征、相关实验室检查、B超和CT检查能满足梗阻性黄疸诊断的需要.

关 键 词:胆汁郁积/诊断  误诊  胆结石/诊断  胰腺肿瘤/诊断

Obstructive jaundice: Etiologic analysis of 95 cases misdiagnosed as hepatitis
ZHANG Huang_Guang.Obstructive jaundice: Etiologic analysis of 95 cases misdiagnosed as hepatitis[J].World Chinese Journal of Digestology,1997,5(2):106-107.
Authors:ZHANG Huang_Guang
Institution:ZHANG Huang_Guang Department of infectious Diseases of Shanghai 7th People's Hospital,Shanghai 200137,China
Abstract:AIM To analyse the common causes of obstructive jaundice. METHODS According to clinical manifestations, laboratory tests, B type ultrasound and CT scanning, 95 cases of diagnosed obstructive joundice were analysed during the period 1987-1995 in our department.
Keywords:Cholestasis/diagnosis    Diagnostic errors    Cholelithiasis/diagnosis    Pancreatic neoplasms/diagnosis
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