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首页 > 医学词汇大全 > Biliary ascariasis
Biliary ascariasis

儿科

关键词儿科 疾病 肠道

词汇介绍

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解析

biliary 英 /ˈbɪliəri/  美 /ˈbɪlieri/

释    义   adj. 胆的;胆汁的;输送胆汁的;由于胆汁异状的

例    句   In this multicenter, randomized trial, we compared preoperative biliary drainage with surgery alone for patients with cancer of the pancreatic head. 在这项多中心的随机(对照)研究中,我们对胰头癌患者术前胆道引流与直接手术进行了比较。

 

ascariasis 英 /,æskə'raɪəsɪs/ 美 /,æskə'raɪəsɪs/

释    义   n. [医] 蛔虫病

例    句   We found the adenoma and carcinoma of gallbladder are closely related, and there is norelationship between gallbladder cancer and ascariasis in our group. 胆囊腺瘤和胆囊腺癌密切相关,本组资料没有显示胆囊癌和胆道蛔虫病的关系。

概述

胆道蛔虫病(BDAS)是由肠道蛔虫经十二指肠乳头开口钻入胆道所致,蛔虫停留于肝外胆管者占80%,偶尔可进入胆囊或肝内胆管。最常见的并发症是肝胆管结石。病因蛔虫是寄生在人体肠道内最大的线虫,成虫呈圆柱形,雌雄异体,活虫略带粉红色或微黄色,一般长15-35 cm,横径0.2-0.6 cm。成虫寄生于人体小肠,蛔虫每天产卵可多达20万个,蛔虫卵随粪便排出体外,在适宜环境条件下5-10天发育成熟即具感染性。虫卵被吞食后.虫卵中的胚幼破壳而出,穿入肠壁通过门静脉系统循环移行至肝脏

Biliary Ascariasis: An Unusual Case of Obstructive Jaundice复制标题

胆道蛔虫症: 一例罕见的阻塞性黄疸

发表时间:2019-01-30

影响因子:8.0

作者: Nor Alia Mohd Noor

期刊:J Clin Med

30-year-old woman presented with fever and abdominal pain for 5 days. Physical examination revealed tenderness in the epigastrium and right hypochondrium. Laboratory tests showed deranged liver function tests with an obstructive picture (bilirubin of 65 mmol/L). Magnetic resonance cholangiopancreatography demonstrated linear hypointense filling defects in the common bile duct, suspicious for biliary ascariasis Q4 (Figure 1A and B). Endoscopic retrograde cholangiopancreatography confirmed the diagnosis when worms were discovered within the stomach and duodenum and in the common bile duct (Figure 1C and D). Endoscopic sphincterotomy was performed to facilitate extraction of the worms from the biliary tree. Medical anthelmintic therapy was then commenced. In biliary Q5 ascariasis, anthelmintic therapy should only be initiated after all the worms have been manually removed from the biliary tree, as worms’ carcasses trapped inside may lead to obstruction.

译文

30岁妇女出现发热和腹痛5天体格检查显示上腹部压痛和右疑病症实验室检查显示肝功能紊乱,有梗阻性表现(胆红素为65 mmol/L)。磁共振胰胆管造影显示胆总管线性低强度充盈缺损,怀疑为胆管蛔虫病Q4(图1A和B)内镜逆行胰胆管造影证实了在胃、十二指肠和胆总管内发现蠕虫时的诊断(图1C和D)内镜下括约肌切开术有助于从胆管中取出蠕虫然后开始进行药物驱虫治疗在胆道Q5蛔虫病中,驱虫治疗应该在所有的蠕虫都被人工从胆管中取出后才开始,因为蠕虫的尸体被困在里面可能会导致梗阻。