Saturday, March 1, 2008

Choledocholithiasis which clinical performance?

Choledocholithiasis is located within the common bile duct stones, according to its sources can be divided into primary choledocholithiasis and from the secondary gallbladder and common bile duct stones. Choledocholithiasis clinical manifestation and severity of the light and heavy critically depend entirely obstructive stones at the extent and availability of biliary tract infection. Paroxysmal attack on abdominal cramps, chills fever and jaundice three coexist (Charcot trilogy), is a stone obstructive biliary tract infection secondary to the typical performance. As stranded bile, bile duct expansion, coupled with the gallbladder contraction, the common bile duct creep could move or remove stones. Once the lifting of obstruction, bile flow is not able to alleviate the symptoms. But if serious biliary tract infection, complicated by acute obstructive suppurative cholangitis, the illness progressed rapidly, nearly half of patients soon patience, Raving or drowsiness, coma and decrease blood pressure and metabolic acidosis septic shock performance, if not treated in time, often in 1-2 days or even a few hours because of circulatory failure and death.

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