胆汁外引流的严重并发症胆汁丢失性黄疸并肾功能不全一例.pdf

中华肝胆外科杂志2014 年4 月第 20 卷第4 期 Chin J Hepatobiliary Su眩， April 2014 ,Vo l. 20 ,No. 4 .273. [ 5 J Miyoshi H , Uchida K , Taniguchi T , et al. Circulating naive and tis[JJ. AmJSurg , 2006 , 192 (1 ):24-28. CD4CD25 high regulatory T cells in patients with autoimmune pan- [9J Mentula P , Kylänpää ML , Kemppainen E , et al. Plasma antiin- creatitis [ J J. Pancreas , 2ω8 ， 36(2) : 133-140. flammatory cytokines and monocyte human leucocyte antigen-DR [6 J Banks PA , Freeman ML. Practice guidelines in acute pancreatitis expression in patients with acute pancreatitis [ J J. Scand J [JJ. Am J Gastroenterol , 2006 , 101 (10) :2379-2400. Gastroenterol , 2∞4 ， 39(2) :178-187. [ 7 J Barboza JM , Silva TM , Guerrant RL , et al. Measurement of intes- [ 10 J Richter A , Nebe T , Wendl K , et al. HLA-DR expression in acute tinal perrneability using mannitol and lactulose in children with di- pancreatitis[JJ. EurJ Surg , 1999 , 165 (10) :947-95 1. arrheal diseases [ J J. Braz J Med Biol Res , 1999 , 32 ( 12 ) : [ 11 J Jiang H , Chess L. Regulation of immune r四ponses by T cells [ J J ‘ 1499-1504 N Engl J Med , 2∞6 ， 354 (1 1): 1166-1176. [8 J Nagpal K , Minocha VR , Agrawal V , et al. Evaluation of intesti- (收稿日期:2014-D2-D8 ) nal mucosal perrneability function in patients with acute pancreati- ·病例报告· 胆汁外引流的严重并发症:胆汁丢失性黄症 并肾功能不全一例 王瑞芳李娟李明省马南管生余祖江胡小波 7ω 患者女，49 岁，发现丙肝病史半年。本次因全身皮肤及 巩膜黄染伴瘦痒5 d ，于 2013 年 8 月 23 日入院。入院体格 600 检查:全身皮肤秸膜及巩膜中度黄染，其余( - )。检验结果 ) i E c - d ( m 示: TBil 109. 1μmoVL， DBil 88.0μmoνL， ALT 116 U/L , 跚 跚 唰m w T v 叫 r AST 141 U/L。予以保肝治疗2 周，肝功有所