胆管—支气管瘘1例报道并文献复习(1)
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[摘要] 探讨胆管-支气管瘘的病因、发病机制、临床表现及诊治。回顾性分析我院近年收治的1例胆管-支气管瘘临床资料及随访情况，复习相关文献进行讨论。患者经胆管-支气管瘘切除关闭、膈肌修补等手术治疗，结合抗感染、纤支镜吸痰等综合治疗，恢复良好。当患者出现咯黄色或黄绿色胆汁样痰，且存在胆管-支气管瘘的危险因素(如胆道梗阻与感染等肝胆疾病)，需考虑到本病的可能；行支气管镜检查留取深部痰液进行胆红素测定有助于确诊胆管-支气管瘘。
[关键词] 胆管-支气管瘘；胆道结石；肺炎
[中图分类号] R657.4 [文献标识码] B [文章编号] 1673-9701(2014)36-0106-03
Report of 1 case of bile duct-bronchus fistula and literature review
ZHANG Chaoshun1 FENG Qixiao1 QIN Shanjun2 FENG Wenzhen3
1.Department of Respiratory Medicine， the Affiliated Zhongshan Hospital of Guangdong Medical College， Zhongshan 528415，China；2. Department of Gastroenterology，the Affiliated Zhongshan Hospital of Guangdong Medical College， Zhongshan 528415，China；3.Baoji Vocational Technology College ......
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