[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fXVi051miuynS2eiNW1tJyUBzpQ36VfW-W32ZDt7pezA":8,"$fMEow9u7sV7-SuC2GwssmUxHiXWCTlLihO5eCoLcYN2k":55,"$fNGnKyqsq9vDbqTgpOaR99XheJAz0jK2Fj74oRjkAXkk":59},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":54},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":18,"postsTitle":19,"materialTotal":20,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"content":25,"description":26,"views":27,"likes":21,"isThumbsUp":7,"isCollection":7,"collections":21,"createTime":28,"seoTitle":22,"seoKeywords":29,"seoDescription":30,"shelvesTime":31,"version":32,"menus":33,"menuId":35,"type":42,"quality":53,"commentCount":21,"isComment":42},66588,867271,[],"https://ystcdn.venuertc.com/medical/ystApp/1KNmXQDnP2XagGmzBK1qyfRfTWA6Qk1r.png","李浩齐","缙云县新建镇中心卫生院","全科医疗","住院医师",516,0,"深入了解胆管癌：早期识别与科学治疗！","","https://ystcdn.venuertc.com/venue/AI/ff50095b-49b4-4dbd-901e-b5e1765b096e.jpg","\u003Cdiv class=\"custom_cholangio_wrapper\">\r\n  \u003Ch1 id=\"material_title\" class=\"custom_cholangio_title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">深入了解胆管癌：早期识别与科学治疗！\u003C/h1>\r\n  \r\n  \u003C!-- 开头场景引入 -->\r\n  \u003Cdiv class=\"custom_cholangio_block custom_cholangio_bg1\">\r\n    \u003Cp>\r\n      每当有人提到“胆管癌”这四个字，总免不了感到一丝陌生——和身边常见的高血压、糖尿病比起来，它像位低调的“不速之客”。可一旦出现在家里或朋友中，往往会让整个人生节奏被打乱。其实，胆管癌并不神秘，只要掌握关键知识，识别早期信号，就能为健康争取更多主动权。今天我们就来聊聊这个藏在生活角落里的“小麻烦”。\r\n    \u003C/p>\r\n  \u003C/div>\r\n  \r\n  \u003C!-- 01 胆管癌是什么？ -->\r\n  \u003Csection class=\"custom_cholangio_section custom_cholangio_bg2\">\r\n    \u003Ch2 class=\"custom_cholangio_subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01. 胆管癌是什么？💡\u003C/h2>\r\n    \u003Cp>\r\n      简单来说，胆管癌是一种发生在胆管（连接肝脏和小肠的管道）的恶性肿瘤。胆管本质上像人体的“交通要道”，负责运送胆汁帮助消化。可如果胆管里的细胞出现了异常生长，就可能演变成胆管癌。这类癌症在所有恶性肿瘤里占比并不高，但由于胆管位置特殊、早期症状不明显，影响健康的风险却不小。对于家里有老人或消化系统疾病患者来说，这个点尤其需要注意。\r\n    \u003C/p>\r\n    \u003Cp>\r\n      胆管癌在医学上常被细分为肝内胆管癌和肝外胆管癌。无论是哪一种，都意味着胆管里的细胞发生了“变异”，失去了正常控制，开始影响身体的消化和代谢功能。\u003Cspan style=\"color:#639678;\">注意\u003C/span>，这种异常细胞有逐渐扩散、侵犯周围器官的可能。\r\n    \u003C/p>\r\n  \u003C/section>\r\n  \r\n  \u003C!-- 02 胆管癌的主要症状有哪些？ -->\r\n  \u003Csection class=\"custom_cholangio_section custom_cholangio_bg3\">\r\n    \u003Ch2 class=\"custom_cholangio_subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02. 胆管癌的主要症状有哪些？🔍\u003C/h2>\r\n    \u003Cdiv>\r\n      \u003Cul class=\"custom_cholangio_list\">\r\n        \u003Cli>\r\n          \u003Cspan class=\"custom_cholangio_emoji\">🟡\u003C/span>\r\n          \u003Cstrong>黄疸\u003C/strong>：皮肤和眼睛发黄，最初可能只是淡淡的变化，偶尔家人发现之后才注意，等到持续加重、尿色变深，预示胆管堵塞变明显了。\r\n        \u003C/li>\r\n        \u003Cli>\r\n          \u003Cspan class=\"custom_cholangio_emoji\">⚡\u003C/span>\r\n          \u003Cstrong>腹部疼痛\u003C/strong>：有些人一开始只是隐隐作痛，很容易当作“吃坏肚子”忽略掉，直到疼痛变得持续且明显，才想到去医院。\r\n        \u003C/li>\r\n        \u003Cli>\r\n          \u003Cspan class=\"custom_cholangio_emoji\">🥣\u003C/span>\r\n          \u003Cstrong>食欲减退\u003C/strong>：早期多为间歇性的不想吃饭、饭量减少，明显期则表现为长期无法进食，体重迅速下降。\r\n        \u003C/li>\r\n        \u003Cli>\r\n          \u003Cspan class=\"custom_cholangio_emoji\">➖\u003C/span>\r\n          \u003Cstrong>体重下降\u003C/strong>：初期或许只是轻微波动，但长期、无法解释的体重减轻尤其需要警惕。\r\n        \u003C/li>\r\n      \u003C/ul>\r\n      \u003Cdiv class=\"custom_cholangio_case\">\r\n        \u003Cb>真实案例：\u003C/b>\r\n        \u003Cspan>\r\n          一位71岁的女士，两个月前确诊胆管癌，第三次综合治疗入院。刚开始，她只是偶尔感到身体乏力、饭量减少，家人并未在意。随着症状越来越明显，两次就诊后才最终发现问题。这提醒我们，持续且明显的症状一定不能拖延就医！\r\n        \u003C/span>\r\n      \u003C/div>\r\n    \u003C/div>\r\n  \u003C/section>\r\n  \r\n  \u003C!-- 03 胆管癌是如何形成的？ -->\r\n  \u003Csection class=\"custom_cholangio_section custom_cholangio_bg4\">\r\n    \u003Ch2 class=\"custom_cholangio_subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03. 胆管癌的形成机制是什么？🔬\u003C/h2>\r\n    \u003Cp>\r\n      胆管癌不是“突然冒出来”的，背后其实有不少原因在潜移默化地影响身体。归纳起来，有几大关键风险因素：\r\n    \u003C/p>\r\n    \u003Cul class=\"custom_cholangio_list\">\r\n      \u003Cli>\r\n        \u003Cstrong>慢性胆管炎\u003C/strong>：长期的胆管炎症，像是一场反复的小战斗，容易使管道细胞损伤、修复过程出错，演变成异常细胞。\r\n      \u003C/li>\r\n      \u003Cli>\r\n        \u003Cstrong>胆囊结石/胆道结石\u003C/strong>：结石反复刺激胆管内壁，增加癌变概率。数据表明，胆管癌患者中合并结石比例不低（Bridgewater et al., 2016）。\r\n      \u003C/li>\r\n      \u003Cli>\r\n        \u003Cstrong>遗传因素\u003C/strong>：家族有消化系统癌症史的人，胆管细胞变异的风险高于普通人群。有研究发现，部分基因突变与胆管癌关联显著（Banales et al., 2016）。\r\n      \u003C/li>\r\n      \u003Cli>\r\n        \u003Cstrong>年龄与性别\u003C/strong>：大多数胆管癌患者年龄在60岁以上，男性略高于女性。\r\n      \u003C/li>\r\n    \u003C/ul>\r\n    \u003Cp>\r\n      长期不良生活习惯（如吸烟、酗酒）虽不是直接元凶，但会让胆管细胞的“自我修复”变得困难，增加了癌变的概率。其实，和家族遗传一样，生活习惯的影响经常被大家忽视。\r\n    \u003C/p>\r\n    \u003Cdiv class=\"custom_cholangio_ref\">\r\n      \u003Cspan class=\"custom_cholangio_ref_title\">引用：\u003C/span>\r\n      Bridgewater, J., Galle, P. R., Khan, S. A., Llovet, J. M., Park, J. W., Patel, T., & Pawlik, T. M. (2016). Guidelines for the diagnosis and management of intrahepatic cholangiocarcinoma. J Hepatol, 65(1), 146-172.\r\n      \u003Cbr>\r\n      Banales, J. M., Marin, J. J. G., Lamarca, A., Rodrigues, P. M., Davies, S. P., & Correnti, M. (2016). Cholangiocarcinoma 2020: the next horizon in mechanisms and management. Nat Rev Gastroenterol Hepatol, 17, 557-588.\r\n    \u003C/div>\r\n  \u003C/section>\r\n  \r\n  \u003C!-- 04 胆管癌的诊断方法有哪些？ -->\r\n  \u003Csection class=\"custom_cholangio_section custom_cholangio_bg5\">\r\n    \u003Ch2 class=\"custom_cholangio_subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04. 胆管癌的诊断方法有哪些？🩺\u003C/h2>\r\n    \u003Cdiv>\r\n      \u003Cspan>\r\n        很多人担心查出胆管癌要做很多“高大上”的检查，其实，主要还是依赖几个常规医学工具：\r\n      \u003C/span>\r\n      \u003Cul class=\"custom_cholangio_list\">\r\n        \u003Cli>\r\n          \u003Cstrong>影像学检查\u003C/strong>：包括CT、MRI等，可以清晰显示胆管结构、发现肿瘤的位置和大小。比如腹部CT，有助于判断癌症是否扩散到周边脏器。\r\n        \u003C/li>\r\n        \u003Cli>\r\n          \u003Cstrong>肝功能检测\u003C/strong>：抽血检测肝功能指标，如转氨酶和胆红素，间接反映胆管是否堵塞、肝脏受影响程度。\r\n        \u003C/li>\r\n        \u003Cli>\r\n          \u003Cstrong>内镜检查\u003C/strong>：当影像学提示可疑病变时，医生可能建议做胆道镜或ERCP（内窥镜逆行胰胆管造影），更精确定位问题。\r\n        \u003C/li>\r\n      \u003C/ul>\r\n      \u003Cp>\r\n        检查结果出来后，根据肿瘤大小、分期，医生会定制出个性化治疗方案。遇到胆管癌相关检查时，积极配合、如实反馈症状，能够帮助医生快速做出判断。\r\n      \u003C/p>\r\n      \u003Cdiv class=\"custom_cholangio_ref\">\r\n        \u003Cspan class=\"custom_cholangio_ref_title\">引用：\u003C/span>\r\n        Khan, S. A., Thomas, H. C., Davidson, B. R., & Taylor-Robinson, S. D. (2005). Cholangiocarcinoma. Lancet, 366(9493), 1303-1314.\r\n      \u003C/div>\r\n    \u003C/div>\r\n  \u003C/section>\r\n  \r\n  \u003C!-- 05 胆管癌的治疗方案是怎样的？ -->\r\n  \u003Csection class=\"custom_cholangio_section custom_cholangio_bg6\">\r\n    \u003Ch2 class=\"custom_cholangio_subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05. 胆管癌的治疗方案有哪些？🩹\u003C/h2>\r\n    \u003Cp>\r\n      胆管癌的治疗不是“单一答案”，而是多种策略组合。对于不同阶段的患者，医生会给出对应方案：\r\n    \u003C/p>\r\n    \u003Cul class=\"custom_cholangio_list\">\r\n      \u003Cli>\r\n        \u003Cspan class=\"custom_cholangio_emoji\">✂️\u003C/span> \u003Cstrong>手术切除\u003C/strong>：早期、没有广泛扩散的胆管癌可以考虑手术，去除异常组织。手术难度大，恢复期需密切随访。\r\n      \u003C/li>\r\n      \u003Cli>\r\n        \u003Cspan class=\"custom_cholangio_emoji\">💊\u003C/span> \u003Cstrong>化疗\u003C/strong>：常见药物有顺铂、吉西他滨等，作为主要方案用于晚期或不能手术的病例。比如前述71岁女士，采用了顺铂+吉西他滨的化疗方案，并配合胃黏膜保护、止吐药物帮助耐受治疗。\r\n      \u003C/li>\r\n      \u003Cli>\r\n        \u003Cspan class=\"custom_cholangio_emoji\">🔬\u003C/span> \u003Cstrong>放射治疗\u003C/strong>：对局部肿瘤进行“精准打击”，减轻症状，延缓进展。\r\n      \u003C/li>\r\n    \u003C/ul>\r\n    \u003Cp>\r\n       部分患者还会结合靶向药物治疗和免疫调节手段，适应人群较为有限。一些辅助措施像弹力袜预防血栓、营养支持等，也很重要。\u003Cspan style=\"color:#639678;\">注意\u003C/span>，治疗期间一定要遵医嘱，定期复查、保持良好心态，能显著提升恢复机会。\r\n    \u003C/p>\r\n    \u003Cdiv class=\"custom_cholangio_ref\">\r\n      \u003Cspan class=\"custom_cholangio_ref_title\">引用：\u003C/span>\r\n      Valle, J. W., Lamarca, A., Goyal, L., Barriuso, J., & Zhu, A. X. (2021). New horizons for precision medicine in cholangiocarcinoma. J Hepatol, 74, 337-350.\r\n    \u003C/div>\r\n  \u003C/section>\r\n  \r\n  \u003C!-- 06 如何在生活中管理与预防胆管癌？ -->\r\n  \u003Csection class=\"custom_cholangio_section custom_cholangio_bg7\">\r\n    \u003Ch2 class=\"custom_cholangio_subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06. 日常管理与预防胆管癌的实用办法 🌱\u003C/h2>\r\n    \u003Cp>\r\n      说起来，胆管癌确实有不少风险因素，但日常生活里，做好身体管理就能大大提升早期发现概率，让健康有更稳健的“后盾”。具体措施如下：\r\n    \u003C/p>\r\n    \u003Cul class=\"custom_cholangio_list\">\r\n      \u003Cli>\r\n        \u003Cspan class=\"custom_cholangio_emoji\">🥦\u003C/span>\r\n        \u003Cstrong>蔬菜类食物 + 促进消化免疫 + 推荐每天两种蔬菜\u003C/strong>：青菜、胡萝卜、番茄等富含多种维生素和膳食纤维，有助于调节肝胆功能。建议每日摄入两种以上不同颜色蔬菜，有好处。\r\n      \u003C/li>\r\n      \u003Cli>\r\n        \u003Cspan class=\"custom_cholangio_emoji\">🍎\u003C/span>\r\n        \u003Cstrong>水果（尤其柑橘类）+ 抗氧化保护 + 每周3-5次\u003C/strong>：多吃苹果、橙子、柚子，帮助中和自由基，对胆管细胞有正向作用。\r\n      \u003C/li>\r\n      \u003Cli>\r\n        \u003Cspan class=\"custom_cholangio_emoji\">🐟\u003C/span>\r\n        \u003Cstrong>优质蛋白（鱼类、豆制品）+ 维持肝脏修复 + 每天适量\u003C/strong>：鱼、瘦肉、豆腐等能提供身体修复必需的蛋白质，建议每天适量摄入，帮助细胞“自我修复”。\r\n      \u003C/li>\r\n    \u003C/ul>\r\n    \u003Cp>\r\n      除此之外，规律作息、避免过度劳累、保持乐观心态也能减少身体“失衡”。如果发现自己消化长期不稳定、出现黄疸或体重无故下降，建议尽快到正规医院做相关检查。对于中老年朋友，肝胆系统体检一般2年一次比较合适，别等症状明显了再追悔莫及。\r\n    \u003C/p>\r\n    \u003Cp>\r\n      实际上，积极预防、及时筛查比事后治疗更高效。如果有家族史，可以与消化科医生沟通制订个性化检测计划。保持好饮食、好习惯，健康自然也会多几分保障。\r\n    \u003C/p>\r\n  \u003C/section>\r\n  \r\n  \u003C!-- 结尾：科普收束和行动建议 -->\r\n  \u003Csection class=\"custom_cholangio_section custom_cholangio_bg8\">\r\n    \u003Ch2 class=\"custom_cholangio_subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">结语：识别胆管癌，管理健康更从容\u003C/h2>\r\n    \u003Cp>\r\n      胆管癌不像感冒那样容易被察觉，它更像隐藏在生活里的“小麻烦”，一旦发作需要各方面的科学管理。通过今天的介绍，你可能已经发现，尽早识别、及时诊断以及日常有效预防，都是提升健康质量的实用方法。健康是每个人的小目标，只要把每一步做扎实，让家人和自己都多一些关注和行动，难题其实也能变得简单。愿每一个关心胆管健康的你，都能安心生活，平安无忧。\r\n    \u003C/p>\r\n  \u003C/section>\r\n\r\n  \u003C!-- 参考文献 -->\r\n  \u003Csection class=\"custom_cholangio_section custom_cholangio_bg9\">\r\n    \u003Ch3 class=\"custom_cholangio_ref_title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">参考文献\u003C/h3>\r\n    \u003Cul class=\"custom_cholangio_ref_list\">\r\n      \u003Cli>\r\n        Bridgewater, J., Galle, P. R., Khan, S. A., Llovet, J. M., Park, J. W., Patel, T., & Pawlik, T. M. (2016). Guidelines for the diagnosis and management of intrahepatic cholangiocarcinoma. \u003Cem>J Hepatol\u003C/em>, 65(1), 146-172.\r\n      \u003C/li>\r\n      \u003Cli>\r\n        Valle, J. W., Lamarca, A., Goyal, L., Barriuso, J., & Zhu, A. X. (2021). New horizons for precision medicine in cholangiocarcinoma. \u003Cem>J Hepatol\u003C/em>, 74, 337-350.\r\n      \u003C/li>\r\n      \u003Cli>\r\n        Banales, J. M., Marin, J. J. G., Lamarca, A., Rodrigues, P. M., Davies, S. P., & Correnti, M. (2016). Cholangiocarcinoma 2020: the next horizon in mechanisms and management. \u003Cem>Nat Rev Gastroenterol Hepatol\u003C/em>, 17, 557-588.\r\n      \u003C/li>\r\n      \u003Cli>\r\n        Khan, S. A., Thomas, H. C., Davidson, B. R., & Taylor-Robinson, S. D. (2005). Cholangiocarcinoma. \u003Cem>Lancet\u003C/em>, 366(9493), 1303-1314.\r\n      \u003C/li>\r\n    \u003C/ul>\r\n  \u003C/section>\r\n\u003C/div>\r\n\r\n\u003Cstyle>\r\n.custom_cholangio_wrapper {\r\n  font-family: 'PingFang SC','Microsoft YaHei',Arial,Helvetica,sans-serif;\r\n  background: #f7f9fa;\r\n  color: #212b36;\r\n  max-width: 760px;\r\n  margin: 30px auto 30px auto;\r\n  box-shadow: 0 4px 16px rgba(146,190,173,0.06);\r\n  border-radius: 16px;\r\n  padding: 28px 32px 42px 32px;\r\n}\r\n.custom_cholangio_title {\r\n  font-size: 2.6em;\r\n  padding-bottom: 10px;\r\n  letter-spacing: 2px;\r\n  background: linear-gradient(90deg, #c2ead8 0%, #f2efe3 100%);\r\n  border-radius: 8px;\r\n  text-align: center;\r\n  margin-bottom: 24px;\r\n}\r\n.custom_cholangio_section {\r\n  border-radius: 14px;\r\n  padding: 28px 25px 25px 25px;\r\n  margin: 32px 0 0 0;\r\n  box-shadow: 0 2px 8px rgba(160,190,164,0.04);\r\n}\r\n.custom_cholangio_block {\r\n  border-radius: 12px;\r\n  padding: 18px 23px 15px 23px;\r\n  margin-bottom: 18px;\r\n  background: linear-gradient(80deg, #e4f7ef 0%, #f2f5f9 100%);\r\n}\r\n.custom_cholangio_bg1 {\r\n  background: linear-gradient(100deg, #e4f7ef 60%, #edf2eb 100%);\r\n}\r\n.custom_cholangio_bg2 {\r\n  background: linear-gradient(110deg, #e4f7ef 55%, #eae6cf 100%);\r\n}\r\n.custom_cholangio_bg3 {\r\n  background: linear-gradient(120deg, #faf1db 65%, #f5f8f4 100%);\r\n}\r\n.custom_cholangio_bg4 {\r\n  background: linear-gradient(115deg, #e0f2ef 60%, #fbe8e8 100%);\r\n}\r\n.custom_cholangio_bg5 {\r\n  background: linear-gradient(95deg, #f8e3ef 60%, #eaf2f7 100%);\r\n}\r\n.custom_cholangio_bg6 {\r\n  background: linear-gradient(100deg, #e2f0e8 70%, #fae3df 100%);\r\n}\r\n.custom_cholangio_bg7 {\r\n  background: linear-gradient(105deg, #f7efea 60%, #eaf7ef 100%);\r\n}\r\n.custom_cholangio_bg8 {\r\n  background: linear-gradient(95deg, #eaf2f7 60%, #fbe8e8 100%);\r\n}\r\n.custom_cholangio_bg9 {\r\n  background: linear-gradient(101deg, #f5f8f4 60%, #faf1db 100%);\r\n  margin-top: 40px;\r\n  padding: 25px 25px 15px 25px;\r\n}\r\n.custom_cholangio_subtitle {\r\n  font-size: 1.55em;\r\n  margin-bottom: 18px;\r\n  color: #479e6d;\r\n  font-weight: 600;\r\n  letter-spacing:1.5px;\r\n  border-left: 5px solid #bee1cf;\r\n  padding-left: 9px;\r\n  background:rgba(193, 228, 204, 0.12);\r\n  border-radius: 4px;\r\n}\r\n.custom_cholangio_emoji {\r\n  font-size: 1.3em;\r\n  margin-right: 5px;\r\n}\r\n.custom_cholangio_list {\r\n  list-style: none;\r\n  margin: 0 0 18px 0;\r\n  padding: 0;\r\n}\r\n.custom_cholangio_list li {\r\n  margin-bottom: 12px;\r\n  font-size: 1.1em;\r\n  line-height: 1.7em;\r\n  padding-left: 0;\r\n}\r\n.custom_cholangio_list strong {\r\n  margin-right: 6px;\r\n  color: #4b9f89;\r\n}\r\n.custom_cholangio_case {\r\n  background: #f9f4e4;\r\n  border-radius: 7px;\r\n  padding: 11px 15px;\r\n  margin-top: 14px;\r\n  font-size: 1em;\r\n  color: #936f44;\r\n  box-shadow: 0 1px 7px rgba(246,209,129,0.07);\r\n}\r\n.custom_cholangio_ref {\r\n  padding: 8px 15px;\r\n  background: #f3fbf7;\r\n  font-size: 0.98em;\r\n  color: #598b7d;\r\n  border-left: 4px solid #c1dacd;\r\n  border-radius: 5px;\r\n  margin-top: 22px;\r\n  margin-bottom: 0px;\r\n}\r\n.custom_cholangio_ref_title {\r\n  font-weight: 600;\r\n  color: #479e6d;\r\n  margin-right: 6px;\r\n}\r\n.custom_cholangio_ref_list {\r\n  list-style: decimal inside;\r\n  padding-left: 0;\r\n  margin-top: 15px;\r\n  font-size: 1em;\r\n}\r\n.custom_cholangio_ref_list li {\r\n  margin-bottom: 7px;\r\n  color: #5e6c56;\r\n}\r\n@media (max-width: 900px) {\r\n  .custom_cholangio_wrapper {max-width: 98vw; 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