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Systemic sclerosis with gallbladder stone disease: a report of one case
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摘要:
<正>系统性硬化症是一种自身免疫性弥漫性结缔组织疾病,也称为硬皮病。突出的特征是皮肤发硬,以手、足皮肤硬化最常见,严重时可以出现全身皮肤僵硬。除了皮肤以外,系统性硬化症还会引起内脏疾病,最常见的是吞咽困难、食管反流、肺间质纤维化、心包积液以及肾功能不全等临床表现。本文介绍了1例系统性硬化症伴发胆囊结石、急性胆囊炎的患者。因伴有肝脏及周围组织纤维化可能,术中并发大出血及术后发生胆瘘等风险较大,但患者胆囊炎症重,且结石长期刺激有继发胰腺
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Key words:
- scleroderma,systemic /
- cholecystolithiasis /
- cholecystectomy,laparoscopic /
- case reports
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[1]YE RG,LU ZY.Internal medicine[M].Sixth edition.Beijing:People's Medical Publishing House,2004:933-936.(in Chinese)叶任高,陆再英.内科学[M].6版.北京:人民卫生出版社,2004:933-936. [2]CHENG B,XIE W,XIE PH.Clinical analysis of 20 systemic sclerosis cases[J].J Jiangsu Clin Med,2002,6(6):628.(in Chinese)成蓓,谢卫,谢品辉.系统性硬皮病20例临床分析[J].江苏临床医学杂志,2002,6(6):628. [3]POSTHUMA WF,LEDEBOER M,MASCLEE AA,et al.Do patients with systemic sclerosis have abnormal gallbladder function?[J].Eur J Gastroenterol Hepatol,1997,9(7):675-677. [4]LOPES MH,LUDWIG E,AMARAL BB,et al.Motor activity of the gallbladder in systemic sclerosis[J].Am J Gastroenterol,1999,94(12):3487-3491. [5]DI CIAULA A,COVELLI M,BERARDINO M,et al.Gastrointestinal symptoms and motility disorders in patients with systemic scleroderma[J].BMC Gastroenterol,2008,27(8):7. [6]MANCHANDA Y,DAS S,SHARMA VK,et al.Scleredema associated with carcinoma of the gall bladder[J].Br J Dermatol,2005,152(6):1373-1374. [7]CHEN HZ,LIN GW.Practical medicine[M].B edition.Beijing:People's Medical Publishing House,2010:2733-2736.(in Chinese)陈灏珠,林果为.实用内科学[M].B版.北京:人民卫生出版社,2010:2733-2736. -
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