摘要
目的:探讨急性重症胆管炎的外科治疗效果和经验。方法:对2005年1月至2009年1月间在我院手术治疗的急性重症胆管炎患者60例进行回顾性分析,总结外科治疗效果和经验。结果:本组60例患者中54例治愈出院,死亡6例,病死率10.00%。其中≥60岁组的病死率16.00%,<60岁组患者的病死率4.44%,两组患者死亡率比较差异具有统计学意义(P<0.05)。死亡病例中2例死于感染性休克,1例死于肾功能衰竭,1例死于术后严重肺部感染致呼吸衰竭,1例死于术后心功能衰竭。结论:临床医师应充分认识急性重症胆管炎的危重性,合理选择手术时机和手术方式,从而减少患者的死亡率、改善患者的预后。
Objective：To investigate the effect and experiences on acute severe cholangitis of surgical therapy.Method： 60 cases with acute severe cholangitis in our hospital from January in 2005 to January in 2009 were analysed retrospectively,and the effect and experiences were summarized.Result： There were 54 cases with curing,and 6 cases were death,and the dead rate was 10.00%.The dead rate in group who were more than 60 years old was 16.00% and the dead rate in group who were less than 60 years old was 4.44%,and there was significant difference between them（P0.05）.There were 2 dead cases with septic shock,1 dead case with renal failure,1 dead case with severious pulmonary infection causing respiratory failure and 1 dead case with heart nonfunction after operation.Conclusion： The clinician should recognized the dangers of acute severe cholangitis and choose the rational operation chance and the modus operandi to reduce the dead rate and to improve the prognosis.
出处
《河北医学》
CAS
2010年第7期842-843,共2页
Hebei Medicine
关键词
急性
重症胆管炎
外科
Acute
Severe cholangitis
Surgical therapy
