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胆道树(biliary tree)一个或多个部位的节段性梗阻是原发性或继发性肝肿瘤的常见并发症。因为这些患者常无黄疸,适合用~(99m)Tc-HIDA等做肝胆闪烁扫描。至今,作者已遇到5例用~(99m)Tc-HIDA诊断的胆道树节段性梗阻,现介绍典型病例如下: 病例报告:一个50岁的男性患者,出现右上腹部疼痛及体重减轻。直接血清胆红质为0.24mg/dl,血清总胆质为0.95mg/dl(正常<1.5mg/dl),血清碱性磷酸酶90IU/l(正常<80IU/l)。在静脉注入5mCi的~(99m)-HIDA后,用带高分辨率准直器的γ照相机
Segment obstruction of one or more sites of the biliary tree is a common complication of primary or secondary liver tumors. Because these patients often have no jaundice, suitable for ~ (99m) Tc-HIDA and other hepatobiliary scintigraphy. To date, the authors have encountered 5 cases of biliary tree segmental obstruction diagnosed with ~ (99m) Tc-HIDA. Typical cases are as follows: Case Report: A 50-year-old male presented with right upper quadrant pain and weight loss. Direct serum bilirubin was 0.24 mg / dl, serum total cholesterol was 0.95 mg / dl (normal <1.5 mg / dl), serum alkaline phosphatase 90 IU / l (normal <80 IU / l). After intravenous injection of 5mCi ~ (99m) -HIDA, a gamma camera with a high resolution collimator