摘要
目的 探讨重症胆管炎的临床特点及手术的最佳时机。方法 对我院1990-2002年间收治的98例重症胆管炎患者进行回顾性研究。结果 本组有典型的夏科三联征者74例,占75.5%;手术62例,占63.3%,均在发病后6～72h之间,治愈57例,死亡5例,占8.1%。非手术治疗36例,治愈28例,死亡8例,占22.2%,本组死亡率14.3%。结论 重症胆管炎患者大部分有典型夏科三联征,手术最佳时机为发病后6～72h。
Objective To explore the clinical characteristics and best occasion for cases withsevere cholangitis.Methods The treatments of 98 cases with severe cholangitis were retrospectivelyinvestigated from 1990 to 2002.Results There were 74 cases (75.5% of the group) with typicalCharcot's trilogy in this group. 62 patients (63.3% of the group) accepted operation after 6h to 72hof the cholangitis incidence. Among them, 57 patients healed, and the rest 5 died with the death rateof 8.1%. 36 patients didn't accept the operations. For them, 28 patients healed, and 8 died, with thedeath rate of 22.2%. The total death rate was 14.3%.Conclusion Most severe cholangitis cases wereaccompanied by the typical Charcot's trilogy. And the best operation occasion is from 6h to 72h afterincidence.
出处
《国际医药卫生导报》
2003年第14期28-29,共2页
International Medicine and Health Guidance News
关键词
重症胆管炎
手术时机
临床特征
Severe cholangitis Operation occasion Clinical characteristic
