Cov poj niam cev xeeb tub nrog mob pancreatitis tau ua tiav zoo los ntawm cov txheej txheem endoscopic
Nws tau tshaj tawm tias tus mob pancreatitis yog ib qho ntawm kev kho mob mob plab, feem ntau qhov pib mob, kev vam meej sai, tsis kho raws sij hawm yog ib qho yooj yim rau kev loj hlob thiab hem lub neej ntawm cov neeg mob. Yog tias mob pancreatitis tshwm sim thaum cev xeeb tub, nws yuav ua rau muaj kev pheej hmoo ntawm cov kab mob thiab kev nyuaj ntawm kev kho mob, thiab tus kab mob yuav ua rau muaj kev hem thawj rau leej niam thiab tus menyuam hauv plab. Rau tus mob pancreatitis tshwm sim los ntawm lub gallstones, duodenoscopic bile duct drainage (ERCP) yog qhov kev kho mob tsawg tshaj plaws thiab muaj txiaj ntsig zoo. Txawm li cas los xij, ERCP xav tau kev qhia X-ray, uas tuaj yeem ua rau muaj kev pheej hmoo ntawm teratogenesis thiab txawm tias rho menyuam tawm rau cov neeg mob cev xeeb tub, yog li nws tau dhau los ua ib qho teeb meem hauv kev tswj xyuas kev kho mob.
Tus neeg mob tso tawm, Ms. Chen, 40 xyoo, muaj 36-lub lim piam cev xeeb tub thiab muaj keeb kwm 7-8 xyoo ntawm gallstones. Nws tau mus rau lwm lub tsev kho mob vim "mob plab plab nrog daim tawv nqaij thiab sclera daj staining rau 4 hnub". Tom qab ua tiav kev kuaj mob, B-ultrasound pom qhov nthuav dav ntawm cov kav dej thiab ntau lub gallbladder pob zeb. Biochemical kuaj pom tag nrho bilirubin 89.8umol / L (tus nqi qub)
Liu Chun, tus kws kho mob ntawm biliary thiab pancreatic phais, tau txais Ms. Chen thiab qhia rooj plaub rau Liu Wei, tus thawj coj ntawm lub tuam tsev, thiab hu rau kev sab laj obstetric los ntsuas tus me nyuam hauv plab. Tom qab kev sib tham, ua ke nrog Ms. Chen keeb kwm ntawm cholecystolithiasis thiab ntau yam kev ntsuam xyuas, nws tau txiav txim siab tias cholecystolithiasis tawm mus rau hauv cov kab mob sib xyaw ua ke, ua rau cov kab mob ob lub raum ob leeg thiab ua rau mob biliary pancreatitis. Xav txog qhov xwm txheej tshwj xeeb ntawm tus neeg mob cev xeeb tub, pab pawg tau txiav txim siab ua qhov tsis muaj hluav taws xob tam sim ERCP ntawm nws raws li kev paub dhau los.
