BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 五月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 右上腹痛/上腹痛
  • 右上腹/上腹压痛
  • 黄疸
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其他诊断因素

  • 陶土色便
  • 瘙痒
  • 低血压
  • 精神状态改变
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危险因素

  • 50 岁以上
  • 胆石症
  • 良性狭窄
  • 恶性狭窄
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诊断性检查

首要检查

  • 全血细胞计数（FBC）
  • 血清尿素
  • 血清肌酐
  • 动脉血气 (ABG) 分析
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需要考虑的检查

  • 腹部 CT 增强扫描（静脉使用对比剂）
  • 磁共振胰胆管造影术 (MRCP)
  • 经皮经肝穿刺胆道造影 (PTC)
  • 外科开腹行胆总管探查
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新兴检查

  • 内镜超声 (EUS)
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治疗流程

急性

急性发病

疾病持续状态

合并胆总管结石、原发性硬化性胆管炎或者 HIV 相关性胆管病变。

贡献者

作者 查看所有

Professor of Medicine

Division of Gastroenterology

Department of Internal Medicine

Huntsman Cancer Institute

University of Utah

Salt Lake City

UT

利益冲突披露
DGA has consulted for BSC and Merit, who make endoscopic retrograde cholangio-pancreatography (ERCP) products. He is also an author of references cited in this topic.

Dr Douglas Adler would like to gratefully acknowledge Dr Andre S. Fedoravicius, a previous contributor to this monograph. ASF declares that he has no competing interests.

同行评议专家 查看所有

Associate Professor of Pediatric Surgery

University of Pittsburgh School of Medicine

Pittsburgh

PA

利益冲突披露
DJH declares that he has no competing interests.

Professor of Medicine

Division of Gastroenterology & Hepatology

Mayo Clinic Rochester

Rochester

MN

利益冲突披露
TB declares that he has no competing interests.

Consultant Hepatologist

The Liver and Hepatobiliary Unit

Queen Elizabeth Medical Care Unit

University Hospitals Birmingham NHS Foundation Trust

Birmingham

UK

利益冲突披露
DF declares that he has no competing interests.

Clinical Scientist

University of Birmingham

Honorary Consultant

Liver Transplant Unit

University Hospitals Birmingham NHS Foundation Trust

Birmingham

UK

利益冲突披露
BE declares that he has no competing interests.

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