급성 간경부염

　　1、감염

　　細菌이나 기생충 감염이 간경부에 급성 염증을 유발할 수 있습니다.

　　2、혈장액 역류

　　혈장액이 간경부에 들어가 활성화된 혈장효소가 간경부를 부식시켜 화학성 염증이 발생하며, 이에 따라 부작용 감염도 쉽게 발생할 수 있습니다.

　　3、간경부 좁혀짐

　　간석은 간액의 흐름을 방해할 뿐만 아니라, 기계적 자극으로 인해 간경부벽에 염증이나 창상이 발생할 수 있습니다. 수술 상처나 촬영 검사는 간경부벽에 손상과 치유 흔적이 생겨 좁아지게 하여 간액의 흐름을 방해하고 감염 및 염증을 유발할 수 있습니다.

　　The main causes of death in patients with acute severe cholangitis are the serious development of sepsis, toxic shock, cholangogenic liver abscess, bile duct hemorrhage, multiple organ failure, and other conditions.

　　1、Abdominal pain ranges from dull pain to severe colic, persistent or intermittent. The pain is often located on the right side of the xiphoid process, the inflammation of the intrahepatic bile duct can be painful in the liver area or upper left abdomen, often radiating to the back or right shoulder. When the inflammation develops to the serous membrane of the bile duct and its surroundings, there may be abdominal muscle tension and rebound pain.

　　2、Feverishness, low fever or high fever, slight chill or chills. Can be accompanied by an increased heart rate and pulse.

　　3、Jaundice often appears soon after fever. Or only see the sclera slightly yellow, or there may be general yellowing of the body.

　　4、Gastrointestinal symptoms often include nausea, vomiting, anorexia, abdominal distension, and other symptoms. The pain does not subside after vomiting. There may also be worms vomited.

　　5、When there is obvious cholangitis in the liver, there are often symptoms such as liver enlargement, tenderness, and liver area percussion pain.

　　Acute cholangitis severely affects patients' daily lives, so it should be prevented actively. Actively treat choledochoal diseases, eat less high-fat and high-cholesterol foods, which is of great significance for the treatment and prevention of the disease.

　　1、blood

　　Leukocyte count increased, neutrophil count increased. Bilirubin increased, γ-Glutamyl transferase, alkaline phosphatase increased; there may also be alanine aminotransferase and amylase increased.

　　2、urine

　　Urobilinogen is reduced, urobilin is positive, and amylase can also be increased.

　　3、ultrasonic examination

　　Dilatation of the bile duct, thickening of the wall, can have stones, ascaris, and cholecystitis manifestations.

　　4、X-ray and CT

　　Cholangiography can show dilatation of the bile duct or stones.

　　Acute cholangitis patients' diet should be light and easy to digest, eat more vegetables and fruits, and reasonably match the diet, pay attention to adequate nutrition. In addition, patients should also pay attention to avoid spicy, greasy, cold and raw foods..

　　1、antispasmodic, analgesic, choleretic, and duromethrine can be used if necessary.

　　2、gastric decompression, which can relieve abdominal distension, vomiting and the stimulation of bile secretion.

　　3、shock correction.

　　4、anti-infection.