胆道闭锁葛西手术后肝脏病理变化

摘要

对14例胆道闭锁患儿进行葛西手术后肝脏病理变化的研究.研究结果表明:①胆道闭锁手术后肝脏病理变化与手术后临床表现有密切关系;②肝门部胆管梗阻是加速肝脏病变的重要因素,积极治疗,尽快解除梗阻.才能阻止肝脏病变继续加剧;③肝脏镜下病理变化与肉眼观察不一致.不能单凭肉眼观察和临床表现来判断患儿肝脏病变情况,从而放弃对患儿进一步治疗.%The pathology of liver was studied in 14 patients with congenial biliary atresia after Kasai's operation.The patients were divided into three groups according to their clinical manifestations.The results revealed:1.There is close relationship between the pathological changes of the liver and the clinical manifestations.2.Postoperative biliary obstruction at porta hepatica is one of the important factors causing further damage of the liver.3.It is not always agree with each other between the microscopic findings and the gross findings of the liver.The portal biliary obstruction should be releived as soon as it is found.A second look should be done in case of postoperative jaundice if necessary.In this way the further deterioration of the liver may be prevented.Never give up a child merely on the clinical jaundice and the gross appearance of the liver at operation.