Bibcock journalist Shen Lijuan
Recently, piece of beautiful of Harbin city of 32 years old (alias) occurrence bellyacke, have a fever, the symptom with skin yellow hair, will to Harbin Institute of Technology save a hospital to digest a specialized hospital to digest 2 divisions to see a doctor accessorily, after passing supersonic inspection, the gall-stone that the doctor discovers Zhang Yan dropped bile duct inside, caused block of acute bravery road, amalgamative cholecystitis.
Province hospital digests a specialized hospital to digest Liu Yixia of 2 divisions vice director to express, cystic and calculous afterwards sends bile duct stone, the lens inside often classics takes stone to cannot be achieved effect a radical cure, the proposal excises gallbladder as soon as possible. Accordingly, zhang Yan takes stone hind in the 3rd bile duct, undertook cystic resection, there still is stone to escape in art inside bile duct, did bile duct the 4th times to take rock again finally, just cleared stone completely. Be in hospital did bile duct of the lens inside classics 3 weeks 4 times to take stone skill, it is very infrequent.
Because be fear of sequela to dare not excise gallbladder
Zhang Yan tells a reporter: "There is kin to had done gallbladder to excise an operation in my home, the meeting after cystic excision causes a lot of sequela, they persuade me or protect bravery to treat, do not excise gallbladder as far as possible, but did not think of to had done so much second bile duct takes stone skill, still cannot avoid cholecystitis recrudesce. " to this, liu Yixia says, the afterwards that like Zhang Yan manager of this kind of bravery relapses sends stone, need to do cystic excision in time, but patient of not all gall-stone needs operation treatment, some gall-stone do not cause any symptoms, need not excise gallbladder.
Below what circumstance does gall-stone need a surgery?
Liu Yixia introduces, the gall-stone that does not have a symptom does not need to handle, but should fixed and supersonic check, the 70% gall-stone that do not have a symptom can check regularly, refuse to obey medicine, not operation. Usually, half an year checks to a year supersonic examination. The gallbladder that controls to having 1-2cm is calculous and for the patient that does not have a symptom, need not treat, close observation, regular examination, maintain good habits and customs, cholelith can with human body peaceful coexistence. The 30% cystic stone that do not have a symptom can be in along with serious symptom or complication appear in seeking a course, or cystic stone increases grow in quantity apparently, or cystic wall is changed or cystic function disappears wait for a circumstance, this needs operation treatment.
If the patient does not have a symptom temporarily, so appearing operation treatment requires when serious complication below: Acute cholecystitis turns over recrudesce to make above 3 times, the incontrollable gallbladder after cholecystitis breaks out increases accumulate fluid; Erupt simultaneously fit of pancreatitis of sex of acute bravery source; Gallbladder sends stone to erupt simultaneously more bravery manager block. In addition, have amalgamative the diabetic, patient that has obstacle of function of serious heart lungs also is put in potential hidden danger.
Does the meeting after is excision cystic cause a lot of sequela?
After excision is cystic, a few patients can appear the symptom of long-term diarrhoea, but also need not alarmed. Liu Yixia says, after cystic excision, bile did not have the space that store, the bile of hepatic generation flows into bowel directly inside the path, side aid digestion is adipose kind of alimental action is abate, bring about the meeting after eating fat food to appear diarrhoea, but promote biliary excretive medicaments through profess to convinced commonly, dilate of sex of acting countervail of patient bile duct, the symptom can be in diarrhoea to arrive two years inside alleviate; If exceed diarrhoea of 2 years of above not to alleviate, whether does Lv of take an examination have alvine Yi Ji to be asked for integratedly wait for disease of path of functional sex bowel; Still a few patient can appear the circumstance of stricture of manager of the bravery after art, this kind of circumstance needs to undertake bile duct bracket is treated, but the sequela that this also is few number.
Finally, liu Yixia reminds the patient that needs cystic surgery, because be fear of occurrence sequela,do not want and refuse operation treatment, if once appear,gall-stone embeds a phenomenon in bravery manager, cause fester sex bile duct extremely easily phlogistic or acute pancreatitis, in illness danger serious case falls, cure of reentry travel operation can increase very big risk.
