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肝吸虫病合并胆道多发性结石和胆汁淤积性肝硬化误诊为布加综合征1例报告

徐艳玲 赵旭 郭晓林 季慧范 张颖 宋鑫月 王景宇 孙晓峰 刘凯 赫荣华 高普均

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肝吸虫病合并胆道多发性结石和胆汁淤积性肝硬化误诊为布加综合征1例报告

DOI: 10.3969/j.issn.1001-5256.2018.07.029
详细信息
  • 中图分类号: R532.2;R575.22

Clonorchiasis complicated by multiple cholelithiasis and cholestatic cirrhosis misdiagnosed as Budd-Chiari syndrome: A case report

  • 摘要: <正>肝吸虫病,又称华支睾吸虫病,是常见的食源性寄生虫病。其临床主要表现为胆管炎、胆囊炎、胆石症等,也可引起多种并发症,如胆道梗阻、脓肿、胆管癌等[1-2]。当疾病进展至晚期,肝脏形态学发生改变,肿大的肝脏压迫肝内血管可导致肝脏淤血改变,继发肝静脉或下腔静脉阻塞性疾病,类似布加综合征。本例患者最初即被误诊为布加综合征,现报道如下。1病例资料患者女性,24岁,因"发现肝功能异常3年余,面黄、目黄4

     

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    [2]ZHANG H, ZHU L, WANG L, et al.Clinical analysis of 22 patients with hepatobiliary disease caused by liver fluke[J].J Clin Hepatol, 2013, 29 (7) :538-540. (in Chinese) 张会, 朱磊, 王璐, 等.肝吸虫性肝胆疾病22例分析[J].临床肝胆病杂志, 2013, 29 (7) :538-540.
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    [7] YAN C, WANG YH, YU Q, et al.Clonorchis sinensis excretory/secretory products promote the secretion of TNF-alpha in the mouse intrahepatic biliary epithelial cells via Toll-like receptor 4[J].Parasit Vectors, 2015, 8:559.
    [8] XU Y, LIN J, BIAN M, et al.CsRNASET2 is an important component of Clonorchis sinensis responsible for eliciting Th2 immune response[J].Parasitol Res, 2015, 114 (6) :2371-2379.
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  • 出版日期:  2018-07-20
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