夏亮芳;胡韵;胡康;刘永康;陈业才;周玲棣;蒋诚如;杨通林;
Xia Liangfang, et al Department of Surgery

• 1: 贵阳医学院外科学教研室
• 2:贵阳医学院外科学教研室
• 3:贵阳医学院外科学教研室
• 4:中国科学院地球化学研究所

摘要(Abstract)：

贵州省贵阳市以胆固醇结石为主的胆囊结石占77.56％,而从江县以胆色素结石为主的原发性肝胆管结石占66.89％。作者取贵阳市和从江县两地区胆石进行成份分析、水质分析、土壤微量元素分析,并比较两地区地理、地貌、地层、岩性、气候和生活习性差异,以探索胆结石成因与地球化学环境的关系。初步发现胆固醇结石多发于碱性硬水地区,而胆色素结石多发于酸性软水地区。
The relationship between regional environment and gallstone genesis of Guiyang City and Chongjiang County has been studied.The geologic, geographic and climatic situation between those of two places are different :Guiyang City is located in the alpine basin of middle Guizhou covered by limestone with a temperate climate, on the contrary, Chongjiang County in the south-east of Yunnan-Guizhou plateau covered by slate with a subtrop- ical mild-humid climate.The differences are also shown in gallstone types, there are 77.56% cholesterol stones in Guiyang, while 68.89% pigmental stones in Chongjiang.The contents of K, Na, Ca, Mg, Mn, Cl, Fe, Cu, Co, Al and P stones in Chongjiang are higher than those in Guiyang.As a drinking water acidic soft water, pH=6.03, rich in Na~+, K~+ and Cl~-for the Chongjiang and alkali hard water pH=7.9, rich in Ca~(2+), Mg~(2+), dissolved gas O_2, HCO_3~-, SO_4~(2-) and plasma NH_4NO_2~-, NO_3~-is typical for the Guiyang, The contents of Pb, Ni and Cr of soil the Guiyang are 21, 18, 84 times greater tnan tnose in the Chongjiang respectively.From above described, a preliminary conclusion can be gotten, that cholesterol gallstone mostly formed in alkali hard water area, and pigmental gallstone in acidic soft water area.

关键词(KeyWords)： 胆固醇结石;碱性硬水;胆色素结石;酸性软水
cholesterol stone;alkali hard water;pigmental stone;acidic soft water

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 夏亮芳;胡韵;胡康;刘永康;陈业才;周玲棣;蒋诚如;杨通林;
Xia Liangfang, et al Department of Surgery

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DOI: 10.19367/j.cnki.1000-2707.1990.04.011

参考文献(References)：

• 1． 贵州省胆结石病研究协作组.贵州省21个医院胆结石临床流行病学调查.贵阳医学院学报1987;12(3) :236．
• 2． 全国胆石病研究协作组,胆结石成分调查表.中华外科杂志 1983;(6) :375．
• 3． 全国胆石病研究协作组.中国人胆结石的特点--全国11342份胆结石手术病例临床调查.中华外科杂志 1987;(6) :321．

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