胰高血糖素可松弛 Oddi 氏括约肌和增加胆汁流量。这两种作用相加,可起到“内科十二指肠乳头切开术”的作用,从而可使结石排出。方法 7例胆道结石患者经 T 管胆管造影(胆囊切除术后患者)或者经皮穿刺胆道造影术或内窥镜逆行胰胆管造影(非手术患者)确诊。胰高血糖素治疗,开始静脉注射1mg 负荷剂量,然后以5mg/h的速率连续滴注8 h。监护患者的生命指征(包括血压、脉搏、呼吸和体温等)改变以及腹痛情况,并对患者的肝脏酶活 Glucagon relaxes Oddi’s sphincter and increases bile flow. The sum of these two effects can play a “medical duodenal papillactomy” role, which can make stone discharge. Methods Seven cases of choledocholithiasis were confirmed by T tube cholangiography (after cholecystectomy) or percutaneous cholangiography or endoscopic retrograde cholangiopancreatography (nonsurgical). Glucagon treatment was started, intravenous injection of 1mg load dose, and then 5mg / h rate of continuous infusion of 8h. Monitoring patient’s vital signs (including blood pressure, pulse, respiration and body temperature, etc.) changes and abdominal pain, and the patient’s liver enzyme activity