目的 探讨阻塞性黄疸术后并发肝内胆汁淤积的的机制及治疗 ,总结该并发症的诊治经验。方法回顾性分析203例阻塞性黄疸行手术治疗后并发8例(3.9%)肝内胆汁淤积病例的病因及治疗体会。结果在并发术后肝内胆汁淤积组中,有术前、术中一过性低血压的发生率高于无并发术后肝内胆汁淤积组。8例肝内胆汁淤积予肾上腺皮质激素辅以利胆药物治疗后痊愈。结论阻塞性黄疸术后有可能并发肝内胆汁淤积。其原因可能为胆汁细菌感染 ,缺血再灌注损伤、乙肝病毒感染。其中缺血再灌注损伤及胆汁细菌感染可能起主要作用。治疗上以肾上腺皮质激素加利胆药物为主
【英文摘要】 Objective To probe into the mechanism and the treatment of intrahepatic cholestasis after the operation of obstructive jaundice,and sum marize the experiences of diagnosis and treatm entof the complication.Methods 2 0 3cases of ob- structive jaundice operation were analyzed retrospectively.Postoperative intrahepatic cholestasis occurred to 8patients(3. 9% ) .Bases of diagnosis:(1) No dilation in the intrahepatic ductsystem is found by B- ultrasonography or CT scan.(2 ) direct bilirubin / indirect bi..
