摘要
目的总结急性化脓性胆管炎(AOSC)的治疗经验。方法 2003～2009年我院收治87例AOSC患者,其中47例采用早期胆道减压(内镜治疗或急诊手术),40例采用保守治疗(延期手术)。分析两组治疗效果。结果早期胆道减压组47例,治愈45例(87.2%),死亡2例(4.3%),死亡原因均为多发性器官衰竭,发生各类并发症6例;保守治疗组40例,治愈34例(85%),死亡6例(15%),死亡原因为严重呼吸窘迫综合征、肝肾综合症、心肌炎等;发生各类并发症12例。结论早期胆道减压在减轻AOSC患者症状、防止严重并发症、减少患者住院时间及治疗费用的方面效果明显。
Objective To investigate the treatment experience in acute suppurative cholangitis （ASC）.Methods We retrospectively analyzed the clinical data of 87 cases of ASC in our hospital from 2003 to 2009.Forty-seven cases underwent early biliary decompression group （emergency operation or therapeutic endoscopy）,while the other 40 cases underwent expectant treatment.Results Of the 47 cases in early biliary decompression group,45 cases （87.2%） were cured,6 cases had complications and 2 died （4.3%） due to multiple organ failure.In control group,34 cases （85%） were cured,12 cases had complications and 6 died （15%） due to severe respiratory distress syndrome,hepatorenal syndrome and myocarditis etc.Conclusion Early decompression of biliary tract becomes more and more important in the treatment of ASC,especially in preventing of severe complications of ASC,alleviating the symptoms of patients,reducing length of patient stay and treatment costs.
出处
《实用医院临床杂志》
2010年第6期112-114,共3页
Practical Journal of Clinical Medicine
关键词
急性化脓性胆管炎
严重并发症
早期胆道减压
损伤控制性手术
Acute suppurative cholangitis
Severe complication
Early decompression of biliary tract
Damage control surgery
