本文报告儿童胆道系统损害各型临床特点。对象为4—15岁儿童胆道系统疾病151例。作者分析了151例临床及实验-器械检查资料(胆囊造影,超声检查,食管、胃十二指肠镜检查,动态的肝胆同位素闪烁扫描),十二指肠内容物生化检查等综合检查结果,将本组151例分为输胆管运动障碍124例(其中表现为运动过弱者95例,运动过强者29例)和慢性胆囊胆管炎(症状加重)27例。各型临床特点如下。输胆管运动障碍的运动过强型29例中25例在进食后30—40分钟发生急性发作性腹痛,特别是吃凉菜和冷饮或情绪激动时易发生,疼痛局限于右季肋部(24例)或右季肋部和右肋下脐旁(5例),疼痛持续时间5—15分钟。此型病程(6个月)较短为其特点之一,表现为植物神经系统不安定者28例,神经官 This article reports various clinical features of children with biliary tract lesions. The object was 151 children with biliary tract diseases of 4-15 years old. The authors analyzed 151 clinical and laboratory-instrumental findings (cholecystography, ultrasonography, esophageal, gastroduodenoscopy, dynamic hepatobiliary isotope scintigraphy), biochemical tests of duodenal contents, This group of 151 patients were divided into 124 cases of bile duct dysfunction (which showed 95 cases of weakened exercise, exercise too strong in 29 cases) and chronic cholecystitis (symptoms) in 27 cases. Various types of clinical features are as follows. Twenty-two of the 29 cases with bile duct dyskinesia developed acute-onset abdominal pain 30 to 40 minutes after eating, particularly when eating cold dishes and cold drinks or were emotionally agitated, with pain limited to the right quarter of the ribs (24 ) Or the right quarter of the rib and the right subcostal umbilical (5 cases), pain lasting 5-15 minutes. This type of course (6 months) is one of its short characteristics, manifested as autonomic nervous system in 28 cases, neurological officer