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本文报告淤胆型肝炎19例,并与经手术及病理证实的梗阻性黄疸19例进行对比分析,着重对二者鉴别诊断问题进行了讨论。淤胆型肝炎起病急,主要表现感染中毒症状和肝炎症状,病程中出现黄疸和自觉症状分离现象,无进行性消瘦,不出现梗阻性黄疸的特有体征和各种检查所见。文中强调,不仅淤胆型肝炎的肝功化验有改变,而且肝外梗阻性黄疸早期即可有血清转氨酶增高。另外,肝外梗阻性黄疸也并非都是黄疸持续加重,有时淤胆性肝炎的黄疸程度更重,因此肝功化验与黄疸程度不能作为二者鉴别的主要依据。
In this paper, 19 cases of cholestatic hepatitis were reported and compared with 19 cases of obstructive jaundice confirmed by operation and pathology, and the differential diagnosis between the two was discussed. Cholestatic hepatitis onset is acute, the main manifestations of symptoms of poisoning and hepatitis infection, the course of symptoms of jaundice and symptoms of separation, no progressive weight loss, no signs of obstructive jaundice and a variety of findings. In the article stressed that not only cholestatic hepatitis liver function tests have changed, and extrahepatic obstructive jaundice early to have elevated serum transaminase. In addition, extrahepatic obstructive jaundice is not all jaundice continued to increase, and sometimes cholestatic hepatitis jaundice more serious, so the degree of liver function tests and jaundice can not be used as the main basis for the identification of the two.