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胆总管探查及引流术适用于()

单选题
2021-12-28 09:17
A、急性单纯性胆囊炎
B、胆囊结石经常发作
C、胆总管结石感染伴有休克
D、肝内胆管结石局限于左叶
E、胆总管扩张不明显,但并发慢性胰腺炎
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正确答案
C

试题解析
胆总管探查及引流术的手术适应证。急性单纯性胆囊炎和胆囊结石适用于胆囊切除术;肝内胆管结石局限于左叶适于肝左叶切除;胆总管扩张不明显,但并发慢性胰腺炎往往提示为炎性缩窄性乳头炎,适于Oddi括约肌切开成形术;胆总管结石感染伴有休克主要为胆道梗阻所致,需胆道减压及引流。

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