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肝内阻塞性黄疸包括:药物性黄疸、妊娠黄疸、病毒性肝炎、原发性胆汁性肝硬化(PBC)等引起的肝内胆汁郁滞,以及肝门肿瘤、硬化性胆管炎和胆管性肝癌等造成的肝内机械性梗阻,习惯称为内科性黄疸。肝内阻塞性黄疸的临床鉴别依据为: 1.临床特征:30岁以前多见于急性病毒性肝炎,30岁后多见于肝硬化,50～60岁多为癌性梗阻,男性以胰腺癌、女性以胆管癌多见。有肝炎接触史、氯丙嗪、避孕药、甲基睾丸素等药物服用史,以及妊娠期等出现的黄疸,首先考虑肝内阻塞。中年后的女性,隐袭起病,发展缓慢,长期黄疸而一般情况相对较好,并有肝硬化表现及抗线粒体抗体阳性时则为PBC。原发性硬化性胆管炎多在40岁后发病,常与溃疡性结肠炎合并存在。青春期发病的慢性复发性黄疸,有BSP排泄障碍,经过良好,
Intrahepatic obstructive jaundice includes: jaundice of pregnancy, jaundice of pregnancy, viral hepatitis, intrahepatic cholestasis due to primary biliary cirrhosis (PBC), and hepatic hilar tumors, sclerosing cholangitis and cholangiocarcinoma Intrahepatic mechanical obstruction caused by, used to be called medical jaundice. Clinical identification of intrahepatic obstructive jaundice based on: 1. Clinical features: 30 years of age before more common in acute viral hepatitis, 30 years of age more common in cirrhosis, 50 to 60 years old mostly cancerous obstruction, male pancreatic cancer, women Cholangiocarcinoma more common. History of exposure to hepatitis, chlorpromazine, contraceptives, methyltestosterone and other drugs taking history, and jaundice during pregnancy, the first consideration of intrahepatic obstruction. Middle-aged women, insidious onset, slow development, long-term jaundice and the general situation is relatively good, and cirrhosis and anti-mitochondrial antibody was positive for the PBC. Primary sclerosing cholangitis mostly in the 40-year-old after onset, often with ulcerative colitis merged. Chronic recurrent jaundice in adolescence, BSP excretion disorder, after a good,