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先天性胆道闭锁的临床病理分析 被引量:1

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摘要 目的:探讨先天性胆道闭锁的临床病理特征.方法:对8例先天性胆道闭锁的临床及病理学特点进行观察.结果:临床表现为阻塞性黄疸、白陶土大便、肝脾大,同时实验室检查胆红素及转氨酶升高.病理特点:胆囊及胆囊管呈纤维条索样.光镜检查未见管腔结构,仅为增生的纤维组织.肝门纤维块横截面见小胆管增生,部分管腔闭锁,部分狭窄,管腔内炎细胞浸润及部分淤胆,大量间质成分增生.2例活检肝组织肝细胞和小胆管腔内有胆汁淤积、汇管区水肿、胆管增生、中性粒细胞和淋巴细胞浸润;6例肝组织汇管区及周围出现纤维化,胆管管腔狭窄和闭锁,肝实质有再生结节形成,呈胆汁淤积性肝硬化改变.结论:应加深对先天性胆道闭锁病因学的认识,努力提高早期诊断水平,早期给予合理的治疗.
出处 《按摩与康复医学》 2011年第32期51-52,共2页 Chinese Manipulation and Rehabilitation Medicine
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