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华枝睾吸虫在我国广东、辽宁等地区流行。华枝睾吸虫感染是由于喜食生鱼所致。虫体主要寄生在肝内外胆管内。肝癌为本病的严重并发症。肝华枝睾吸虫感染合并肝门部胆管癌者很少见。作者于1993年7月收治1例,报告如下。患者男,56岁,朝鲜族。病人20年前生活在辽宁省本溪县农村,喜食生鱼、生牛肉。入院前5天出现黄疸,逐渐加深。B超提示肝内胆管扩张,肝门部胆管梗阻,并见到一个2.5cm×1.6cm的肿物;诊断为肝门部胆管癌。术前检查:血总胆红素350μmol/L,直接胆红
The schistosomiasis is prevalent in China’s Guangdong and Liaoning provinces. The infection of Cercospora tsutsugamushi is due to eating raw fish. The parasite is mainly parasitized in the intrahepatic and extrahepatic bile ducts. Liver cancer is a serious complication of this disease. Liver budworm chlamydial infection combined with hilar cholangiocarcinoma is rare. The author received 1 case in July 1993 and the report is as follows. Male patient, 56 years old, Korean. The patient lived in the countryside of Benxi County, Liaoning Province 20 years ago. He likes raw fish and raw beef. Yellow jaundice appeared 5 days before admission and gradually deepened. B-ultrasound revealed intrahepatic bile duct dilatation, hilar bile duct obstruction, and a 2.5cm x 1.6cm tumor; a diagnosis of hilar cholangiocarcinoma. Preoperative examination: blood total bilirubin 350μmol/L, direct bilirubin