摘要
目的为了提高急性阻塞性化脓性胆管炎（AOSC）治疗水平。方法回顾性分析26例AOSC患者行经皮肝穿胆管引流术，所有患者给予抗生素及补液治疗。结果26例AOSC患者，经皮肝穿胆管引流术、抗生素及补液，26例好转；经胆囊、胆管切开取石、引流术手术治疗，26例治愈；26例进行胆道造影，其中5例产生胆汁外溢，引起胆汁性腹膜炎；并发症5例（19％）；26例患者，随访10年无异常。结论经皮肝穿胆管引流术是治疗危重急性阻塞性化脓性胆管炎患者一种简单、安全有效的方法，值得推广。当胆道造影进入胆道造成压力增大，胆汁随经皮穿刺肝内胆管穿刺针周围外溢，对这些患者进行胆道造影是否可取，需引起临床医师注意，或可选择其他方法。
Objective To improve the treatment of patients with acute obstructive suppurative cholangitis （AOSC）. Methods A retrospective analysis of 26 cases of percutaneous transhepatie biliary drainage for AOSC was performed. All patients with AOSC also treated with antibiotics and rehydration. Results 26 cases of AOSC have been improved after adopting percutaneous transhepatic hiliary drainage, antibiotics and rehydrution. After the gallbladder, bile duct stone removal incision, drainage treatment, the 26 cases have been cured. Among the 26 cases for cholangiography, the spillover of bile was found in 5 cases, causing bile peritonitis. The incidence was 19%. Conclusion Percutaneous transhepatic biliary drainage is the useful and effective method for patients with AOSC. It should pay attention to clinicians when cholangiography was desirable, the spillover of bile was found around intrahepatic bile duct with the percutaneous needle in some cases because cholangiography resulted in increasing pressure into the biliary tract.
出处
《中国急救复苏与灾害医学杂志》
2009年第10期768-770,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
经皮肝穿胆管引流术
治疗
急性阻塞性化脓性胆管炎
Percutaneous transhepatic biliary drainage
Treatment
Acute obstructive suppurative cholangitis（AOSC）
