试述胆总管探查的指征。

作者: rantiku 人气: - 评论: 0

问题试述胆总管探查的指征。

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解析 ①有梗阻性黄疸病史；②典型胆绞痛伴畏寒、高热者；③胆总管结石或扩张者；④术中扪及胆总管内有结石、蛔虫或肿瘤；⑤术中见胆管直径大于1．0cm，管壁炎性增厚；⑥术中胆总管穿刺抽出脓性胆汁，血性胆汁或泥沙样胆色素颗粒；⑦胰腺呈慢性炎症而无法排除胆管内有病变者。

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