54 cases of cirrhosis of cholelithiasis analysis


Gallbladder wall thickening, so that the gallbladder emptying disorders [3]; (3) patients with portal hypertension gastrointestinal tract congestion and edema, gastrointestinal mucosal barrier function weaken, E. coli is easy to enter the biliary tract, resulting in the mouth glucosidase conjugated bilirubin into a water-insoluble non-conjugated bilirubin, and accelerate the formation of stones; (4) cirrhosis of the liver bile acid metabolism disorders cause the body to reduce the bile acid synthesis and bile cholesterol increased bile salt ratio cholesterol,abercrombie and fitch, so that was super-saturated, so the crystalline precipitate and form stones in liver cirrhosis patients of cholelithiasis, usually cirrhosis obvious signs and symptoms, signs and symptoms of cholelithiasis is more hidden. is group of 54 cases of cirrhosis patients with cholelithiasis, 47 cases (87.0) upper abdominal fullness or pain, only 8 cases (14.8) of the right upper quadrant abdominal cramps, fever and tenderness. is group, 17 cases of surgically treated patients, seven cases were confirmed gallbladder gangrene, abscesses,nike free run, but the clinical signs and symptoms are relatively minor exploration. Must be detailed history,moncler jakker, careful physical examination, improve the necessary auxiliary examinations, in order to avoid misdiagnosis. In addition, cholelithiasis and cholelithiasis in cirrhotic patients with clinical manifestations (Table 1), the cirrhosis cholelithiasis complicated by splenomegaly,ralph lauren paris, esophageal varices,franklin marshall, upper gastrointestinal bleeding were significantly increased, is often the treatment of common causes of death. Cirrhosis Patients with poor tolerance, reported in the literature, the case fatality rate of 7 to 26, cirrhosis of the liver in patients with cholecystectomy; patients without cirrhosis was only 0.5 to 1.0] cholelithiasis in liver cirrhosis advised in patients with conservative treatment, 37 cases in this group of 33 patients with symptoms after conservative treatment to improve the ease if the symptoms do not ease or recurrent episodes, obstructive jaundice, may consider surgical treatment, you can choose the same time splenectomy and biliary surgery. Liver function Child class can be used to assess pre-cirrhosis in patients with biliary tract surgery. ChildA-class patients can tolerate elective and emergency surgery, this group there are five cases of gallbladder stones underwent laparoscopic cholecystectomy after surgery had no complications occurred. ChildB grade patients try to elective surgery, by appropriate preparations before surgery, some patients can tolerate surgery. ChildC grade Patients with poor tolerance, surgical difficulty and risk, unless the urgency of the situation, generally should not consider surgery. [
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