一“针”祛黄！渭南市第一医院成功实施经皮肝穿刺胆道引流术
<div class="wx_rich_media_content" id="jsWxContainer"><section data-role="outer" label="edit by 135editor"><section data-role="paragraph"><section><p style="text-align:center;line-height: 2em;"><strong><span style="font-size: 15px;letter-spacing: 2px;font-family: 宋体, SimSun;background-color: rgb(255, 169, 0);color: rgb(255, 255, 255);">“小黄人”不用怕</span></strong></p><p style="text-align:center;line-height: 2em;"><span style="font-size: 15px;letter-spacing: 2px;font-family:宋体, SimSun;">PTCD来帮忙</span></p></section><section style="text-indent: 0em;text-align: center;"><span style="font-size: 15px;font-family:宋体, SimSun;"><span style="outline: 0px;letter-spacing: 2px;color: rgb(191, 27, 27);visibility: visible;"><strong style="outline: 0px;visibility: visible;">微创技术是目前医疗技术发展的大趋势</strong></span></span></section><section style="text-indent: 0em;"><br></section><p style="text-indent: 2em;"><span style="font-size: 15px;font-family: 宋体, SimSun;letter-spacing: 2px;">近日，渭南市第一医院消化内科和超声科联合成功为一名</span><span style="letter-spacing: 2px;font-size: 15px;font-family: 宋体, SimSun;color: rgb(255, 169, 0);"><strong>因胆道低位梗阻引起胆道压力增高、造成皮肤巩膜重度黄染</strong></span><span style="font-size: 15px;font-family:宋体, SimSun;"><span style="letter-spacing: 2px;">的</span><span style="outline: 0px;letter-spacing: 2px;color: rgb(191, 27, 27);visibility: visible;"><strong style="outline: 0px;visibility: visible;">75岁患者</strong></span><span style="letter-spacing: 2px;">实施</span></span><strong><span style="font-size: 15px;font-family: 宋体, SimSun;color: rgb(171, 25, 66);"><span style="letter-spacing: 2px;">经皮肝穿刺胆道引流术</span><span style="outline: 0px; letter-spacing: 2px; visibility: visible;">（PTCD）</span><span style="letter-spacing: 2px;">。</span></span></strong><span style="font-size: 15px;font-family: 宋体, SimSun;letter-spacing: 2px;"></span></p><p style="text-align: center;"><span class="wxart_image" wx-style="display:inline-block;"></span></p><p style="text-indent: 2em;"><span style="font-size: 15px;font-family:宋体, SimSun;"><span style="letter-spacing: 2px;"></span></span></p><section data-tools="135编辑器" data-id="140199"><section style="margin: 10px auto;"><section style="display: flex;padding-left: 5px;margin-bottom: -12px;"><section style="background-color: rgb(255, 255, 254);padding-right: 3px;padding-left: 3px;"><section style="display: flex;margin-top: 2px;margin-bottom: 2px;"><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section></section><section style="display: flex;margin-top: 2px;margin-bottom: 2px;"><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section></section><section style="display: flex;margin-top: 2px;margin-bottom: 2px;"><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section></section></section></section><section style="border-width: 1px;border-style: solid;border-color: rgb(70, 135, 255);padding: 20px 10px;"><section data-autoskip="1" style="line-height: 1.75em; letter-spacing: 1.5px; color: rgb(51, 51, 51);"><section style="line-height: 2em;text-indent: 2.28571em;margin-bottom: 8px;"><span style="letter-spacing: 2px;font-size: 15px;font-family:宋体, SimSun;">3月18日，一位75岁的女性患者张某因黄疸症状入住我院的消化内科。经过详细的检查被确诊患有</span><span style="letter-spacing: 2px;font-size: 15px;font-family: 宋体, SimSun;color: rgb(171, 25, 66);"><strong>胆道低位梗阻</strong></span><span style="letter-spacing: 2px;font-size: 15px;font-family:宋体, SimSun;">。胆道低位梗阻是一种常见的胆道系统疾病，其</span><strong><span style="letter-spacing: 2px;font-size: 15px;font-family: 宋体, SimSun;background-color: rgb(255, 169, 0);color: rgb(255, 255, 255);">主要症状包括黄疸、腹痛、发热等</span></strong><span style="letter-spacing: 2px;font-size: 15px;font-family:宋体, SimSun;">，对患者的生活质量产生严重影响。考虑到张某的年龄和病情，我们决定采取一种安全有效的治疗方法来解决她的病痛。</span></section><section style="text-align: center;margin-bottom: 8px;"><br></section><section style="text-align: center; margin-bottom: 8px;"><span class="wxart_image" wx-style="display:inline-block;width: 100%;height: auto;"></span></section><section style="line-height: 2em;text-indent: 2.28571em;margin-bottom: 8px;"><span style="letter-spacing: 2px;font-size: 15px;font-family:宋体, SimSun;"></span><span style="text-align: center;"></span><span style="font-family: 宋体, SimSun;font-size: 15px;letter-spacing: 2px;text-indent: 2.28571em;"></span></section><section style="line-height: 2em;text-indent: 2.28571em;margin-bottom: 8px;"><span style="letter-spacing: 2px;font-size: 15px;font-family:宋体, SimSun;">在消化内科师鹏主任和主治大夫杜俊娥的精心策划和指导下，我们与张某的家属进行了深入的沟通，详细解释了病情和治疗方案。</span><span style="color: rgb(217, 33, 66);"><strong><span style="letter-spacing: 2px; font-size: 15px; font-family: 宋体, SimSun;">最终，我们决定采用超声引导下肝内胆管置管引流术来治疗张某的胆道低位梗阻。</span></strong></span></section><section style="margin-bottom: 8px;"><br></section><section style="text-align: center; margin-bottom: 8px;"><span class="wxart_image" wx-style="display:inline-block;"></span></section><section style="line-height: 2em;text-indent: 2.28571em;margin-bottom: 8px;"><span style="text-indent: 2.28571em;color: rgb(0, 82, 255);"><strong><span style="letter-spacing: 2px; font-size: 15px; text-decoration-line: underline; font-family: 宋体, SimSun;">超声引导下肝内胆管置管引流术是一种先进的微创治疗技术，具有创伤小、恢复快、并发症少等优点。</span></strong></span><span style="text-indent: 2.28571em;letter-spacing: 2px;font-size: 15px;font-family: 宋体, SimSun;">在3月25日下午，由超声科王刚医生和消化内科刘芳医生组成的手术团队，成功地为张某完成了经皮经肝肝内胆管置管引流术。整个手术过程顺利，张某的生命体征稳定。</span><span style="font-family: 宋体, SimSun;font-size: 15px;letter-spacing: 2px;text-indent: 2.28571em;"></span></section><section style="line-height: 2em;text-indent: 2.28571em;margin-bottom: 8px;"><span style="letter-spacing: 2px;font-size: 15px;font-family:宋体, SimSun;">术后第二天，我们对张某进行了复查。</span><strong><span style="letter-spacing: 2px; font-size: 15px; font-family: 宋体, SimSun; color: rgb(0, 82, 255); text-decoration-line: underline;">结果显示，胆管明显变窄，皮肤黄染症状明显减轻。</span></strong><span style="letter-spacing: 2px;font-size: 15px;font-family:宋体, SimSun;">这说明手术取得了显著的效果，张某的胆道低位梗阻得到了有效的缓解。张某和她的家属对我们的治疗效果表示非常满意，我们也为她的康复感到由衷的高兴。</span></section></section></section><section style="display: flex;padding-right: 5px;margin-top: -12px;justify-content: flex-end;"><section style="background-color: rgb(255, 255, 254);padding-right: 3px;padding-left: 3px;"><section style="display: flex;margin-top: 2px;margin-bottom: 2px;"><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section></section><section style="display: flex;margin-top: 2px;margin-bottom: 2px;"><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section></section><section style="display: flex;margin-top: 2px;margin-bottom: 2px;"><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section><section style="width: 5px;height: 5px;border-radius: 100%;background-color: rgb(255, 221, 114);margin-right: 2px;margin-left: 2px;overflow: hidden;"><br></section></section></section></section></section></section></section><section data-role="paragraph"><section style="outline: 0px; font-size: 15px; letter-spacing: 0.544px; line-height: 2em; text-align: center; visibility: visible; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><strong style="outline: 0px;visibility: visible;"><span style="outline: 0px;letter-spacing: 2px;visibility: visible;"><section data-tools="135编辑器" data-id="124019"><section style="margin: 10px auto;"><section style="display: flex;justify-content: center;"><section><section style="display: flex;justify-content: flex-end;padding-right: 14px;"><section style="display: flex;align-items: center;"><section style="flex-shrink: 0;margin-left: 5px;"><section style="width: 8px;height: 18px;border-radius: 15px;background-color: rgb(255, 202, 66);border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);overflow: hidden;"><br></section></section><section style="flex-shrink: 0;margin-left: 5px;"><section style="width: 8px;height: 18px;border-radius: 15px;background-color: rgb(255, 202, 66);border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);overflow: hidden;"><br></section></section></section></section><section style="background-color: rgb(64, 131, 255);color: rgb(255, 255, 255);letter-spacing: 1.5px;padding: 10px 25px;margin-top: -7px;"><strong data-brushtype="text">PTCD技术介绍</strong></section></section></section></section></section></span></strong></section><section style="text-align: center;margin-bottom: 8px;"></section><section style="text-align: justify;outline: 0px;font-size: 15px;letter-spacing: 0.544px;visibility: visible;text-indent: 2.26666em;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;margin-bottom: 8px;"><span style="color: rgb(255, 255, 255);"><strong><span style="outline: 0px;visibility: visible;letter-spacing: 2px;font-family: 宋体, SimSun;background-color: rgb(255, 104, 39);">PTCD</span></strong></span><span style="outline: 0px;visibility: visible;letter-spacing: 2px;font-family: 宋体, SimSun;">的中文全称是经皮肝脏胆道穿刺引流置管术，主要是在彩超或者CT的引导下，通过特制的穿刺针穿刺到胆管里面，进行胆汁的引流，主要是作用在一些恶性胆道肿瘤，比如肝门胆管癌、胆管下端癌，还有胰腺癌病人如果发生了远处的转移，或病人年龄比较大，身体条件不好不适合做大的手术，在这种情况下，需要进行胆道引流，改善黄疸的情况，降低黄疸的指数，对肝脏起到一个很好的保护作用。</span></section><p style="line-height: 2em;text-indent: 2.26666em;margin-bottom: 5px;"><span style="letter-spacing: 2px;font-size: 15px;font-family:宋体, SimSun;">这种手术叫姑息性的胆道引流治疗:还有一些病人，因为黄疸时间比较长，对凝血功能有影响，如果手术，凝血功能不好的病人在手术当中会发生大出血。</span></p><p style="line-height: 2em;text-indent: 2.26666em;margin-bottom: 5px;"><span style="letter-spacing: 2px;font-size: 15px;font-family:宋体, SimSun;">术前做一个PTCD把黄痘降下来，这样手术的安全性也会提高;另外还有一种就是病人发生了严重的胆道感染，发生感染性休克，这种情况下面，病人不适合做急症手术，也可以进行胆道引流，把感染的胆汁引出来，缓解感染症状，等缓解以后，再进行第二步的手术治疗。</span></p><section data-tools="135编辑器" data-id="124019"><section style="margin: 10px auto;"><section style="display: flex;justify-content: center;"><section><section style="display: flex;justify-content: flex-end;padding-right: 14px;"><section style="display: flex;align-items: center;"><section style="flex-shrink: 0;margin-left: 5px;"><section style="width: 8px;height: 18px;border-radius: 15px;background-color: rgb(255, 202, 66);border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);overflow: hidden;"><br></section></section><section style="flex-shrink: 0;margin-left: 5px;"><section style="width: 8px;height: 18px;border-radius: 15px;background-color: rgb(255, 202, 66);border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);overflow: hidden;"><br></section></section></section></section><section style="background-color: rgb(64, 131, 255);font-size: 15px;color: rgb(255, 255, 255);text-align: center;letter-spacing: 1.5px;padding: 10px 25px;margin-top: -7px;"><strong data-brushtype="text">适应证</strong></section></section></section></section></section><p style="text-align:justify;outline: 0px;font-size: 15px;letter-spacing: 0.544px;line-height: 2em;text-indent: 2em;visibility: visible;margin-bottom: 5px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;letter-spacing: 2px;visibility: visible;font-family: 宋体, SimSun;">1.良性或恶性病变导致梗阻性黄疸，患者手术前需要引流减轻黄疸，改善肝功能。</span></p><p style="text-align:justify;outline: 0px;font-size: 15px;letter-spacing: 0.544px;line-height: 2em;text-indent: 2em;visibility: visible;margin-bottom: 5px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;letter-spacing: 2px;visibility: visible;font-family: 宋体, SimSun;">2.恶性病变引起胆道梗阻，无法手术切除，患者需要引流减轻黄疸。</span></p><p style="text-align:justify;outline: 0px;font-size: 15px;letter-spacing: 0.544px;line-height: 2em;text-indent: 2em;visibility: visible;margin-bottom: 5px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;letter-spacing: 2px;visibility: visible;font-family: 宋体, SimSun;">3.急性梗阻性化脓性胆管炎患者，需要胆道减压、缓解胆道感染。</span></p><p style="text-align:justify;outline: 0px;font-size: 15px;letter-spacing: 0.544px;line-height: 2em;text-indent: 2em;margin-bottom: 5px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;letter-spacing: 2px;font-family: 宋体, SimSun;">4.胆道术后胆瘘或胆道狭窄，需改道引流胆汁促进瘘口恢复、改善症状。</span></p><p style="text-align:justify;outline: 0px;font-size: 15px;letter-spacing: 0.544px;line-height: 2em;text-indent: 2em;margin-bottom: 5px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;letter-spacing: 2px;font-family: 宋体, SimSun;">5.为后续经皮肝胆道取石、支架植入或球囊扩张手术建立操作通道。</span></p></section></section><p style="display: none;"><mp-style-type data-value="3"></mp-style-type></p></div><p></p> 救死扶伤奉献大爱 救死扶伤奉献大爱 救死扶伤奉献大爱 胆道梗阻啥原因引起的 救死扶伤奉献大爱 提高诊疗水平。 这是个高科技 继续加油努力 三马路医院的水平在提高
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