Treatment of congenital bile duct ectasia in children

1 Pinyin 2 Clinical manifestations.

3 Basis for diagnosis.

4 ** Principle.

5 Principles of medication.

6 INVESTIGATIONS.

7 Evaluation of efficacy.

xiān tiān xìng dǎn guǎn kuò zhāng zhèng

Congenital bile duct ectasia is the most common congenital biliary malformation, which is more common in Eastern countries, and is about 4:1 in women than in men. This disease is currently unclear, and there are mainly 1) the theory of biliary dysplasia; 2) pancreaticobiliary confluence and doctrine; 3) Viral infection doctrine.

In recent years, the disease has progressed rapidly and the effect is good.

1.abdominal pain, jaundice, abdominal mass "three main signs";

2.A cystic mass is palpable in the right upper quadrant.

1.abdominal pain, jaundice, abdominal mass "three main signs";

2.abnormal liver function, increased direct bilirubin, increased jaundice index;

Ultrasound showed a common bile duct cyst;

Examination reveals a choledochal cyst;

Examination reveals a choledochal cyst;

1.In general, cysts are removed and jejunal roux y anastomosis;

2.Complicated by acute purulent cholangitis, liver failure, cyst rupture, abdominal distension, and external cyst drainage.

Before surgery, a single antibiotic in A can be used, such as infection can be used in a triple or B or C to choose a combination, liver protection with liver Taile, 10 Bai Dan Bai infusion. Yellowing with Yinzhi Huang and so on. Strengthen support**, postoperative antibiotics are generally used in triple or B and C medium-strong antibiotics, liver protection, anti-inflammatory and choleretic are the same as preoperative.

In general, the diagnosis can be confirmed by the examination frame "A" test. If the diagnosis cannot be confirmed after the "A" test, item "B" can be added.

1.**: Symptoms disappear.

2.Good** Symptoms are relieved.

Congenital cystic dilation of the common bile duct is prone to infection and cancer, and surgery should be done as soon as possible, because the fundal movement of the uterine fundus is more likely to compress the cyst and cause infection, so it is better to have surgery as soon as possible. At present, there is an infection in the basal cavity in the third month of pregnancy, which leads to jaundice and increased aminotransferases, so I think it is better to have surgery first.

Liu Chengli of the Air Force General Hospital solemnly reminded that because the patient cannot be seen face-to-face and cannot fully understand the condition, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! ）

It is not recommended to protect the child, because the child is older in the later stage, the fundus elevation compresses the common bile duct cyst, and cyst infection will occur, and because it is also very troublesome to have a child, the common bile duct cyst infection is serious and there will be septic shock, which endangers the life of Sakura.

Dr. Liu Chengli of the Air Force General Hospital solemnly reminded that because the patient cannot be seen face-to-face and cannot fully understand the condition, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! ）

Bile flows from the liver into the digestive tract, and the cystic abnormality in the distal end of the common bile duct becomes larger, which affects the flow of bile, causing various symptoms. It is generally believed to be caused by congenital weakness of the common bile duct and the occlusion of the lower part of the common bile duct, but it is not completely understood. It is more common in girls.

Jaundice, abdominal pain, and abdominal tumors are the main symptoms of the disease. There are also complaints of fever and vomiting. Because most children will**, a hand stool is required**.

Problem analysis: In this case, if it is congenital common bile duct dilation in children and infants, it should be caused by congenital developmental malformations of the common bile duct. If it is very serious, it can be detected quickly after birth, and it will cause complications such as bile stasis and jaundice.

Suggestions: If it is found at the age of 5, it should be a developmental malformation that is not very inflammatory, but there is expansion after birth, and the symptoms of shouting macrogram gradually arise in Zheng Hall, and if it continues to aggravate, it may cause bile stasis, indigestion, pain and other symptoms, and surgery is generally required to completely **.