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以往所谓阻塞性黄疸,常是“外科黄疸”的同义词。随着对许多疾病的深入研究,发现下列这些并无机械性梗阻的内科疾患,也呈现阻塞性黄疸的表现,病理改变以胆汁淤积(Cholestasis下称淤胆)为著: 1.肝脏与胆道的严重疾病:肝炎(病毒性与酒精性)、原发性胆汁性肝硬化、慢活肝、大结节性肝硬化、硬化性胆管炎、肝内胆管闭锁。2.全身疾病:淋巴瘤、结节病、革兰氏阴性细菌感染。
The so-called obstructive jaundice, is often synonymous with “surgical jaundice.” With further studies on many diseases, the following medical conditions without mechanical obstruction have been found to manifest obstructive jaundice. Pathological changes are characterized by cholestasis (Cholestasis): 1. Liver and biliary Serious diseases: hepatitis (viral and alcoholic), primary biliary cirrhosis, slow living liver, large nodular cirrhosis, sclerosing cholangitis, intrahepatic biliary atresia. 2. Systemic diseases: lymphoma, sarcoidosis, Gram-negative bacterial infections.