1临床资料患者,男性,70岁,因发现血糖高2年,全身皮肤发黄、乏力、纳差1个月入院。查体:消瘦,全身皮肤巩膜重度黄染,心肺(-),腹平软,肝脏于右肋缘下1cm可触及,脾未触及,肝区叩痛阳性,肠鸣音正常,肝功示总胆红素285.3μmol/L。上腹部64排CT示胰头区占位性病变,考虑胰腺癌伴低位胆 1 Clinical data Patients, men, 70 years old, because of the discovery of high blood sugar 2 years, yellow skin, weakness, anorexia 1 month admission. Physical examination: weight loss, systemic scleral severe yellow dye, cardiopulmonary (-), abdominal soft, liver 1cm below the right costal margin can be touched, the spleen not touched, liver percussion-positive, bowel sounds normal, Bilirubin 285.3 μmol / L. 64 on the abdomen of the CT showed pancreatic head mass lesions, consider pancreatic cancer with low gall