【摘要】 本文总结了高原地区再手术50例，提示：本地区胆道患者就诊时多属反复发作的晚期病例，胆道周围严重粘连、纤维化，导致局部解剖不清，难以辨认，稍有不慎，容易损伤总胆管；部分胆总管结石，因临床症状不典型，且本区以单纯胆囊结石居多，常忽视对胆总管的探查而漏诊；简述了高原地区大肠扭转性肠梗阻发病率高，及术后易复发再扭转的病因机制和解剖学特点；以及高原红细胞增多症与伤口全层裂开的因果关系，进行了病理学的探讨；提出了化脓性阑尾炎术后并发肠梗阻、肠袢间脓肿及有肝胆手术后并发的肝、膈下脓肿，胆道梗阻和感染等应早期明确诊断和手术。更多还原

【Abstract】 50 cases of reoperation were summa-rized in this article. It is pointed out that many patients with biliary tract disease inaltitude region belongs to repeated attack of late cases, with severe adhesion around bil-iary duct fibrosis. It results in topography not clear which is difficult to identify and common bile duct is easily injured in opera-tion. Some cases of choledocholithiasis with-out typical clinical symptoms and simple cholecystolithiasis occur rather often in alti-tude region. Exploration of common bile duct is often neglected and causes missed di-agnosis. The morbidity of large intestine twisting obstruction is high in altitude re-gion. The etiological mechanism and anatomical characteristics of postoperative securence of retwisting were narrated.Causality between altitude polyemia poly-cythaemica and full thickness fissuration of wound were pathophysiologically studied The writer proposes that early diagnosis and operation is necessary for preventing postoperative complication of intestinal ob- struction, abscess between intestinal loop after the operation of purulent appendicitis,etc.As for treatment,except operation,anti - infective and maintaining water - elec-trolyte balance,combination of Chinese tra-ditional and western medicine treatment,hy-peralimentation supporting and maintaining positive nitrogen balance were advocated更多还原