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第118例自身免疫性胰腺炎—黄疸—胰头肿大—胆管壁增厚—CA19-9异常 被引量:4

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摘要 病历摘要患者男,68岁,主因“纳差伴上腹隐痛不适15个月,间歇性黄疸11个月”于2005年11月26日入院。15个月前出现食欲减退,伴有右上腹隐痛不适,不适为阵发性,按胃病治疗无效。11个月前出现皮肤巩膜黄染及皮肤瘙痒,小便深黄色,无寒热。在当地对症治疗2周左右症状消退出院。其后症状间歇性发作。1个月前症状复发,偶有白陶土样大便改变,治疗无效。当地医院CT检查发现胰头肿大、肝外胆管扩张,诊断“胰腺癌、梗阻性黄疸”,建议手术治疗。发病后自觉乏力,体重下降5kg。既往无饮酒史,诊断“冠心病”2年。
出处 《中华医学杂志》 CAS CSCD 北大核心 2007年第9期640-642,共3页 National Medical Journal of China
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  • 1[57]Nishimori I,Suda K,Oi I,Ogawa M.Research on the clinical state of autoimmune pancreatitis.J Jpn Pan Soc 2002; 17:619-627
  • 2[58]Song MH,Kim MH,Jang SJ,Lee SK,Lee SS,Han J,Seo DW,Min YI,Song DE,Yu E.Comparison of histology and extracellular matrix between autoimmune and alcoholic chronic pancreatitis.Pancreas 2005; 30:272-278
  • 3[59]Suda K,Takase M,Fukumura Y,Ogura K,Ueda A,Matsuda T,Suzuki F.Histopathologic characteristics of autoimmune pancreatitis based on comparison with chronic pancreatitis.Pancreas 2005; 30:355-358
  • 4[60]Suda K,Shiotsu H,Nakamura T,Akai J,Nakamura T.Pancreatic fibrosis in patients with chronic alcohol abuse:correlation with alcoholic pancreatitis.Am J Gastroenterol 1994; 89:2060-2062
  • 5[61]Nakanuma Y,Harada K,Katayanagi K,Tsuneyama K,Sasaki M.Definition and pathology of primary sclerosing cholangitis.J Hepatobiliary Pancreat Surg 1999; 6:333-342
  • 6[62]Kloppel G,Luttges J,Sipos B,Capelli P,Zamboni G.Autoimmune pancreatitis:pathological findings.JOP 2005; 6:97-101
  • 7[63]Wray CJ,Ahmad SA,Matthews JB,Lowy AM.Surgery for pancreatic cancer:recent controversies and current practice.Gastroenterology 2005; 128:1626-1641
  • 8[64]Levy MJ,Reddy RP,Wiersema MJ,Smyrk TC,Clain JE,Harewood GC,Pearson RK,Rajan E,Topazian MD,Yusuf TE,Chari ST,Petersen BT.EUS-guided trucut biopsy in establishing autoimmune pancreatitis as the cause of obstructive jaundice.Gastrointest Endosc 2005; 61:467-472
  • 9[65]Burak KW,Angulo P,Lindor KD.Is there a role for liver biopsy in primary sclerosing cholangitis? Am J Gastroenterol 2003; 98:1155-1158
  • 10[66]Czaja AJ,Freese DK.Diagnosis and treatment of autoimmune hepatitis.Hepatology 2002; 36:479-497

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  • 1赵平,王成锋.胰腺肿块组织细胞学诊断的可行性和必要性[J].中华医学杂志,2006,86(14):937-938. 被引量:16
  • 2卢光明,王中秋,郑玲,王俊鹏,仇小明,唐小俊.动态增强磁共振成像对胰腺癌及胰腺内分泌肿瘤的诊断价值探讨[J].中华医学杂志,2006,86(14):951-954. 被引量:8
  • 3Kyu-Pyo Kim,Myung-Hwan Kim,Jong Cheol Kim,Sang Soo Lee,Dong Wan Seo,Sung Koo Lee.Diagnostic criteria for autoimmune chronic pancreatitis revisited[J].World Journal of Gastroenterology,2006,12(16):2487-2496. 被引量:73
  • 4刘全达,周宁新.自身免疫性胰腺炎诊治的研究进展[J].中华医学杂志,2007,87(20):1438-1440. 被引量:18
  • 5Chari ST, Smyrk TC, Levy M J, et al. Diagnosis of autoimmune panereatitis: the Mayo Clinic experience [ J ]. Clin Gastroenterol Hepatol, 2006, 4: 1010-1016.
  • 6Finkelberg DL, Sahani D, Deshpande V, et al. Autoirnmune panereatitis [J]. N Engl J Med, 2006, 355 : 2670 - 2676.
  • 7Kamisawa T, Egawa N, Nakajima H, et al. Clinical difficulties in the differentiation of autoimmune pancreatitis and pancreatic carcinoma [ J ]. Am J Gastroenterol, 2003, 98: 2694 - 2699.
  • 8Sarles H, Sarles JC, Muratore R, et al. Chronic inflammatory sclerosis of the pancreas - an autonomous pancreatic diseases [ J ] ? Am J Dig Dis, 1961, 6:688 -698.
  • 9Yoshida K, Toki F, Takeuchi T, et al. Chronic pancreatitis caused by autoimmune abnormality. Proposal of concept of autoimmune pancreatitis [J]. Dig Dis Sci, 1995, 40:1561-1568.
  • 10Chari ST, Echelmeyer S. Can histopathology be the “ gold standard” for diagnosing autoim- mune pancreatitis [ J ] ? Gastroenterology, 2005, 129:2118-2120.

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