摘要
目的：探讨急诊ERCP在急性胆系疾病中的应用价值.方法：回顾性分析3年间急诊ERCP治疗急性胆系疾病72例的临床资料.结果：ERCP治疗成功68例,成功率95.8℅,治疗12小时后病人症状明显减轻.失败3例,中转开腹手术治疗,1例因术后多器官功能衰竭死亡.无消化道穿孔、大出血、急性重症胰腺炎等并发症.结论：急诊ERCP是急性胆系疾病的首选治疗方法,具有操作简单、安全有效的特点.
Objective To evaluate the application of emergency ERCP in patients with acute biliary diseases. Methods Retrospective analysis was made on the clinical data of 72 patients with acute billary diseases who were treated by emergency ERCP during there years. Results Of the 72 cases, emergency ERCP treatment was successful in 68 cases ,and the successful rate was 95.8%. Clinical symptoms were obviously relieved within 12h after ERCP treatment. Three failure cases were treated with open operation, and one case died of postoperative multiple organ failure. No complications such as enteral perforation, acute severe pancreatitis or hemorrhage were recorded. Conclusions Emergency ERCP should be the treatment of first choice in treatment of acute biliary diseases, and it is simple , safe and effective.
