Qi and blood stasis on the treatment of biliary atresia and collaterals in 20 cases after Kasai.docVIP

 PAGE \* MERGEFORMAT 8 Qi and blood stasis on the treatment of biliary atresia and collaterals in 20 cases after Kasai [Keywords:] Qi stasis and collaterals; biliary atresia, Kasai operation, liver function Biliary atresia (BA) is the infant for intrahepatic, extrahepatic bile duct disease characterized by occlusion, etiology is unclear, often quickly lead to biliary cirrhosis leading to death. Kasai hepatic portal Early diagnosis is the treatment of intestinal anastomosis key, but because of many factors, not satisfied with curative effect. Kasai positive and effective prevention and treatment of postoperative pediatric liver fibrosis, not only can prolong the survival time of Kasai operation in children, but also can improve the quality of life of children. Since 2003 -2007 years, I applied Qi stasis Tongluo Kasai operation for biliary atresia patients in the clinical symptoms, liver function improved to achieve a certain effect, reported as follows. 1 Clinical data 1.1 included in the standard case ① Clinical manifestations: persistent, progressive increase of the skin, mucous membranes, sclera high degree of jaundice, dark yellow, white row of yellow stool and dark urine, abdominal swelling visible physical examination, hepatosplenomegaly, smooth, hard, Late abdominal vein engorgement, ascites can occur, many accompanied by portal hypertension. ② laboratory tests: serum bilirubin, direct bilirubin in particular the main. serum bilirubin up to 80 ~ 350 μmol / L, abnormal liver function. ③ B-ultrasonic examination: liver increases, see the left and right hepatic ducts and normal common bile duct. ④ BA clear diagnosis, selection of Kasai procedure, and surgery days lt;60 d. ⑤ TCM is now empty Blood, skin and yellow cards to meet objectives, dark dark minimalist, Xie lump in the abdomen under the hard, belly expansion, blue veins exposed, or see ecchymosis, Nvxue, less gas, fatigue, anorexia, loose stools, dark lip color red, dark tongue, white c