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white bile
相关语句
  白胆汁
     White bile or absence of bile secretion was found in 23 cases (41%).
     胆囊白胆汁或无胆汁23例(41%)。
短句来源
     Several unusual manifestations such as white bile draining in common bile duct (14 cases) and casual massive bleeding (2 cases ) during and following hepatobiliary and pancreatic operations is reported. These manifestations were in fact signs of hepatic insufficiency.
     作者报告了肝胆胰外科中不常见的胆总管引流白胆汁14例和术后不寻常大出血2例,指出这些不常见表现实际上为肝功能不全的反映,当引起临床医师重视。
短句来源
  相似匹配句对
     WHITE
     白色
短句来源
     White
     清新白色
短句来源
     White bile or absence of bile secretion was found in 23 cases (41%).
     胆囊白胆汁或无胆汁23例(41%)。
短句来源
     The Application of Fish Bile
     鱼类胆汁的应用
短句来源
     Results White blood cells and mononuclearcells infiltrated into the tissue of the bile duct and no pathological injuries were found in the 43℃ group.
     结果微波热疗温度43℃,时间30分钟,胆管组织内有白细胞、单核细胞浸润,未发现病理损伤。
短句来源
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  white bile
This is confirmed by the fact that "white" bile appears during high intensity of bile formation with normal bile discharge.
      
"White" bile is a derivative of the liver itself, since it is secreted only at the height of digestion in response to intensive food stimulus.
      
"White" bile obtained was characterized by the presence of much floccular precipitate of protein nature and by reduction of both relative and absolute bilirubin content with the normal bile acid content.
      
These observations indicate that the clear colorless fluid is different from what is known as "white bile", which is produced when there is an obstruction of the biliary tree.
      
Presence of white bile in malignant biliary obstruction is associated with poor prognosis: personal preliminary observations
      


Several unusual manifestations such as white bile draining in common bile duct (14 cases) and casual massive bleeding (2 cases ) during and following hepatobiliary and pancreatic operations is reported. These manifestations were in fact signs of hepatic insufficiency. The manners of manifestations of hepatic insufficiency and their treatment are discussed, with a stress that liver protective treatment and nutritional support are the fundamental modalities.

作者报告了肝胆胰外科中不常见的胆总管引流白胆汁14例和术后不寻常大出血2例,指出这些不常见表现实际上为肝功能不全的反映,当引起临床医师重视。同时还就肝功能不全的表现方式和治疗进行了讨论,强调保肝和营养支持治疗是其根本治疗措施

Objective To explore difficulties and countermeasures of laparoscopic cholecystectomy (LC) for treating huge gallstones. Methods Fifty-six cases of huge gallstones with a diameter of 2.0~5.3 cm (3.4±0.6 cm) were reviewed in respect of their clinical features and operative difficulties and countermeasures during laparoscopic cholecystectomy. Results The laparoscopic cholecystectomy was completed smoothly in 54 cases, with an operation time of 30~130 min (94.3±40.7 min). Conversions to open surgery were required...

Objective To explore difficulties and countermeasures of laparoscopic cholecystectomy (LC) for treating huge gallstones. Methods Fifty-six cases of huge gallstones with a diameter of 2.0~5.3 cm (3.4±0.6 cm) were reviewed in respect of their clinical features and operative difficulties and countermeasures during laparoscopic cholecystectomy. Results The laparoscopic cholecystectomy was completed smoothly in 54 cases, with an operation time of 30~130 min (94.3±40.7 min). Conversions to open surgery were required in 2 cases because of acute suppurative cholecystitis. Moderate-to-severe adhesion was found in 41 cases (73%). White bile or absence of bile secretion was found in 23 cases (41%). There were 2 cases (4%) of small bile duct injuries in the gallbladder bed, 15 cases (27%) of liver tissue injures in the gallbladder bed, and 19 cases (34%) of intraoperative gallbladder leakage. No major bile duct injury or massive hemorrhage occurred. The postoperative hospitalization time was 3.6±1.5 days. Follow-up observations for 6~12 months (mean, 11 months) found that the symptoms disappeared and no complications were noted. Conclusions The difficulties during LC for huge gallstones lie in the thickening of the gallbladder wall that causes injuries of the liver tissue and small bile ducts in the gallbladder bed. Careful dissection and reservation of part of the gallbladder wall are effective methods to lower the incidence of complications.

目的探讨巨大胆囊结石腹腔镜胆囊切除术(laparoscopiccholecystectomy,LC)的难点及对策。方法回顾性分析56例结石最大径2.0~5.3cm(3.4±0.6)cm的巨大胆囊结石的临床特征、LC的难点及处理方法。结果54例顺利完成LC,手术时间30~130min,(94.3±40.7)min;2例(4%)由于急性化脓性胆囊炎中转开腹。胆囊中至重度粘连者41例(73%)。胆囊白胆汁或无胆汁23例(41%)。胆囊床小胆管损伤2例(4%)、胆囊床肝组织损伤出血15例(27%),术中胆囊破溃19例(34%)。无大胆管损伤及大出血并发症。术后住院(3.6±1.5)d。随访6~12个月,平均11个月,症状消失,无并发症发生。结论巨大胆囊结石LC的难点是由于胆囊长期的慢性炎症、机化所致的胆囊剥离困难以及由此引起的胆囊床的肝组织损伤和胆囊床小胆管损伤。仔细剥离和保留部分胆囊壁是恰当的处理对策。

 
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