论文部分内容阅读
男,25岁,1990年12月19日下午被多人用拳脚击伤腹部等处,当时觉中上腹疼痛。当地医院对症治疗。10天后患者因中上腹持续隐痛就诊县医院。体检发现皮肤、巩膜黄染,肝功能检查:黄疸指数30u、GPT200U、HBsAg阳性,诊断为“黄疸性肝炎”给予保肝治疗,症状无明显改善,黄疸进行性加重,曾有陶土色大便2次。次年1月26日B超检查提示:肝内胆管及胆总管扩张,胰头探得4.3×3.0cm实质性肿块,疑
Male, 25 years old, on the afternoon of December 19, 1990 was punched and punctured by a number of people in the abdomen, etc. At that time, the pain was felt in the upper abdomen. Local hospital symptomatic treatment. 10 days after the patient continued upper extremity pain hospital treatment. Physical examination found that the skin, sclera yellow dye, liver function tests: jaundice index 30u, GPT200U, HBsAg positive, diagnosed as “jaundice hepatitis” given liver protection, no significant improvement in symptoms, jaundice progressive increase, had clay color stool twice . January 26 the following year B-ultrasound tips: intrahepatic bile duct and common bile duct dilatation, pancreatic head exploration 4.3 × 3.0cm substantial mass, suspect