１　病历简介　　患者，男，６１岁。皮肤、巩膜黄染４个月余。在外院行剖腹探查术取材病理诊断为“胆管癌”，肿瘤未能切除。我院门诊行超声引导下剑突下经皮左肝管引流术后，黄疸有所减轻。体检：慢性病容，全身皮肤粘膜重度黄染，腹平坦，肝脾肋下未触及，右上腹可见引流管 1 medical history Introduction Patients, male, 61 years old. Yellow skin and sclera stained for more than 4 months. In the external hospital, laparotomy was performed to obtain a pathological diagnosis of cholangiocarcinoma, and the tumor could not be removed. In our hospital outpatient ultrasound-guided subxiphoid percutaneous left hepatic duct drainage, jaundice has been reduced. Physical examination: chronic disease, severe yellowing of the skin and mucous membranes of the body, flat abdomen, unobstructed liver and spleen ribs, drainage tube visible on the right upper abdomen