BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 危险因素
  • 体重减轻
  • 腹痛
  • 无痛性黄疸
全部具体信息

其他诊断因素

  • 皮肤瘙痒
  • 高热，黄疸和右上腹痛
  • 胆囊可触及
  • 肝肿大
全部具体信息

危险因素

  • 年龄大于50岁
  • 胆管炎
  • 胆总管结石病
  • 胆囊结石
全部具体信息

诊断性检查

首要检查

  • 血清胆红素
  • 血清碱性磷酸酶
  • 血清γ-GT
  • 血清转氨酶
全部具体信息

需要考虑的检查

  • 腹部CT
  • 腹部MRI
  • MR血管成像
  • 经内镜逆行性胰胆管造影术(ERCP)
全部具体信息

新兴检查

  • 光学相干断层扫描
  • 经口胆管镜检查术
  • 十二指肠镜辅助下胆道镜检查
全部具体信息

治疗流程

急性

可切除肿瘤

不可切除肿瘤

贡献者

作者 查看所有

Chairman of Surgery

Professor and Chief Surgical Oncology

Director Cancer Center

Department of Surgery

Roger Williams Medical Center

Boston University School of Medicine

Providence

RI

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

Associate Professor and Associate Chief

Surgical Oncology

Department of Surgery

Roger Williams Medical Center

Boston University School of Medicine

Providence

RI

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

同行评议专家 查看所有

Assistant Professor

Department of Surgery

Health Science Center

SUNY

Stony Brook

NY

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

GI Fellow

Department of Medicine

Center for Gastrointestinal Motility

Division of Gastroenterology and Hepatology

University of Kansas Medical Center

Kansas City

KS

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

Consultant in Surgical Oncology

The Royal Marsden Hospital

London

UK

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

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