外围彩票

疑难病例

胆胰内镜外科成功为一食管癌术后梗阻性黄疸患者施行超声内镜引导下胆道穿刺引流术(EUS-BD)

外围彩票jinri,puwaijiuke(danyineijingwaike)chenggongweiyiweishiguanaishuhougengzuxinghuangdanhuanzheshixingchaoshengneijingyindaoxiadandaochuanciyinliushu(eus-bd)shoushu。

外围彩票huanzhenvxing,52sui,4nianqianyinshiguanaixinggenzhishoushuzhiliao,yinpifugongmohuangran6tianshouruyuanzhiliao,huanzhecunzaishangxiaohuadaoshoushushi,yingyangzhuangtaijiaocha,huanzhefushuijiaoduo,wufaxingptcd,jingkeshitaolun,zhunbeiliyongercp(jingneijingdanguanjianyayinliushu)zhirudanguanzhijiajiejuehuanzhegengzuxinghuangdandewenti,danyinweiweixiangshangtila,qieyoumenxiazhai,jishi“miaotiao”deweijingyezhinengmianqiangtongguoyoumen,duishierzhichangjiangduanrengranwangerquebu,huanyongshierzhichangjingjingshenjunbunengdaodashierzhichang,bunengxingercp;huanzhedanhongsujinxingxingshangsheng,gangongnengmeikuangyuxia,bixubaozhengdanguantongchangyinliuyouxiaojianhuangcainenghuanjiehuanzhezhengzhuang。yujiashuchongfendebingqinggoutonghou,keshijuedingweihuanzheshixingeus-bdshoushu。

wenxianzhichu,danguangengzuhuanzheruguojingrutouchaguanbuchenggonghuozherutouwufajiejin,eus-bdshiyizhongkexuanzedeyinliufangfa。dangzaichaoshengneijingyindaoxiacongweihuoshierzhichangchuanciganneidanguanhuodanzongguanchenggonghou,houxudezhiliaokeyitongguoqiangnei、shunxinghuozhehuishijishudengwancheng。keshouxianduidanguanjinxingjiancha,ranhouchuancifangzhidaosi,yandaosijinxingkuozhang,ranhouzaidanguanhechangdaozhijianzhiruzhijiajinxingyinliu,bingkexuanzezaiganmenbudanguanzhirubidanguanwaiyinliuhuozhesuliaozhijianeiyinliu。yingaifangshiyuanlishierzhichangrutou,keyingyongyurutouyinghuahuowaikeshoushuhoudedandaogengzuhuanzhe。

zhenduicileibukeqiechudeexinggengzuqiebunengxingercpdehuanzhe,chaoshengneijingyindaodandaoyinliuchengweibuershouxuan。shoushuwanchengshunli,shuhouhuanzhezhengzhuanghaozhuan,danhongsushuipingjiaoqianjiandi,huifuqingkuanglianghao。

shangxiaohuadaoshoushubaokuobishiiishishuhou、yishierzhichangshuhou、shiguan(wei)kongchangroux-en-yshuhou、danchangroux-en-yshuhoudeng,shuhouyinweijiepoujiegoudegaibian,youshihouneijingwufadaodadanguanxiangshierzhichangdekaikou,wufaxingercpzhiliao。chaoshengneijingweizheileihuanzhetigongleyitiaoxindetujing,eusyindaoxiadanguanyinliu(eus-bd)huojiangchengweiercpshibaihoudezhongyaotidaishouduan,youqiduiyuhuanzhecunzaixiongfushuihuanzhegengweishiyong。shoushuchenggongbiaozhizhedanyineijingwaikeercplianhechaoshengneijingzhiliaodanyijibingmaishangleyigexintaijie,jinhouzhenduibutonghuanzhehuiyougengduozhongzhiliaofangan。

wen: huyue zhanglichao housenlin

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