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急性胆管炎危险因素的临床分析 被引量:43

An analysis of risk factors of acute cholecystitis .
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摘要 我院1972年~1991年共手术治疗急性胆管炎99例,死亡27例,死亡率27.3%。我们对患者的年龄、发病情况、手术治疗及实验室检查等方面可能影响预后的十余种危险因素进行分析。结果表明伴有内科并发病、早期出现休克、肝功能损害严重、及存在人为医源性延误等因素均与预后密切相关。同时存在4个以上危险因素者预后差。通过本文,可引导我们正确估计患者的预后,选择及时、正确的治疗措施可提高治愈率。 Abstract A total of 99 cases with acute cholecystitis were treated surgically and 27 patients died with the mortality of 27.3% from 1972 to 1991.Ten prognostic related risk factors(RF) including patient's age; clinical course; surgical procedure; laboratory findings etc were analysed and aclosely relationship was found between the prognosis and the RF such as: medical problems associated ; early shock development ; serious damage of liver function and iatrogenic delay in diagnosis and treatment etc.and the poor results was seen in patients with more than 4 RFs simultaneously.
出处 《普外临床》 CSCD 1994年第2期82-84,共3页
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