小儿胆汁性腹膜炎及其远期随访

The Biliary Peritonitis and Long-term Follow-up in Infants and Children

分析２０例小儿胆汁性腹膜炎的临床表现、误诊原因和病因。其中１５例随诊６个月至１８年，胆道感染症状反复发作是常见的远期并发症。原来无胆总管囊肿者，如胆总管远端梗阻，术后可形成真性或假性胆总管囊肿。

From 1976 to 1993,20 cases with biliary peritonitis were treated and 15 cases were followed up for 6 months to 18 years.The etiology, diagnosis and prognosis of biliary peritonitis were discussed.It is suggested that the determination of bilirubin in ascitic fluid from paracentesis is important in the diagnosis.The author emphasizes the first choice of operation is external drainage of the biliary tract and the abdominal cavity.The repeated infection of biliary tract is the most common complication during follow-up.Subsequent operation should be performed when the choledochal cyst existed of formed later.