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胆汁性呕吐是消化性溃疡手术后的一种并发症,一般统计约占术后病人的10%。但不同报告的差别很大,在毕氏Ⅱ式后胆汁性呕吐的发生率为1～26%,这可能和缺乏可靠的胆汁反流客观检测方法有关。因此,对胆汁转向手术病例的选择,亦受影响。本文报道空腹胃液的胆汁酸测定,用甲醇-丙酮从胃液中提取胆汁酸,按Murphy等的酶学方法进行测定(J Clin Path 23∶594,1970),算出空腹胃液中的胆汁酸含量,以μmol/小时表示,称为“空腹胆汁反流”(FBR)。结果表明在22例术后有症状的患者中,17例(77%)FBR>120μmol/小时,16
Biliary vomiting is a complication of peptic ulcer surgery, the general statistics about 10% of postoperative patients. However, the different reports vary greatly. The incidence of biliary vomiting is 1-26% after Pisshi Ⅱ, which may be related to the lack of a reliable objective method for the detection of bile reflux. Therefore, the choice of biliary steering surgery cases are also affected. This paper reports the determination of bile acids in fasting gastric juice by extracting bile acids from gastric juice with methanol-acetone and determining the bile acid content in fasting gastric juice by the enzymatic method of Murphy et al. (J Clin Path 23: 594, 1970) μmol / hour, referred to as “fasting bile reflux” (FBR). The results showed that in 22 patients with symptomatic postoperatively, 17 (77%) patients had FBR> 120 μmol / h, 16