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胆道梗阻病人,胆红素152μmol/L,转氨酶正常,为明确梗阻部位,可采用()

单选题
2021-08-30 13:41
A、口服胆囊造影
B、静脉胆道造影
C、PTC
D、十二指肠低张造影
E、腹部X线平片
查看答案

正确答案
C

试题解析
胆红素152μmol/L,口服胆囊造影和静脉胆道造影是禁忌的。PTC即经皮肝穿刺胆道造影术,为在X线引导下,穿刺肝内胆管,注入造影剂,可清晰显示肝内外胆管,了解病变部位、程度和范围,有助于黄疸的鉴别。该方法不受肝功能减退或黄疸的限制,还可在PTC基础上进行引流(PTCD),暂时缓解胆道梗阻。但PTC是一种有创检查,主要并发症有出血、胆瘘及感染。

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