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胆管消失综合征(VBDS)主要指多种因素,包括先天性畸形、感染性病变、缺血性、免疫性、药物、特发性、中毒性引起的病理过程使肝内胆管树结构破坏而致肝胆管局灶或弥漫性消失,临床上出现胆汁淤积综合征,亦为肝移植术后胆管并发症之一。目前西医尚无针对此病的有效方法,多为对症治疗,停药后症状可再次出现。此病属中医学黄疸范畴,中医药辨证论治,可获较好效果。笔者跟随吕文良教授在门诊时经治成人VBDS患者1例,取得较为满意疗效,现介绍如下。
Bile duct disappearance syndrome (VBDS) mainly refers to a variety of factors, including congenital malformations, infectious lesions, ischemic, immune, drugs, idiopathic, toxic pathological processes caused by the destruction of the intrahepatic bile duct tree structure caused Hepatic bile duct focal or diffuse disappearance of clinically cholestatic syndrome, but also one of the complications of bile duct after liver transplantation. At present, there is no effective western medicine for the disease, mostly symptomatic treatment, withdrawal symptoms may appear again. The disease is jaundiced areas of Chinese medicine, traditional Chinese medicine syndrome differentiation, can be better results. The author followed Professor Lv Wenliang in outpatient treatment of adult patients with VBDS in 1 case, made more satisfactory efficacy, are described below.