摘要
本文报告５７例重症胆管炎诊治体会。手术证实诊断符合率高达９０％。本组４８例是由胆管结石引起，仅少数病例是由胆管狭窄、胆道蛔虫引起。文献报告重症胆管炎第一死因是感染休克，肝脓肿败血症是第二死因。本组报告第一死因是脏衰、第二死因是感染休克。本组资料表明延误手术时机是造成死亡的重要因素。因此对休克病人术前准备时间不宜超过２～３小时。手术要简单有效，胆囊造瘘虽简单但引流不可靠，因此不宜作胆囊造瘘。
Diagnosis and treatment of 57 cases of cholangitis were reported in this paper. Ninety percent of them were confirmed surgicaly. In this group,fourty eight cases were caused by biliary duct stones only a few cases by stenosis of biLiary dact and biliary duct ascariasis First the death factor of acute suppurative cholangitis was due to infective shock Then it was due to hepatic abscess septicemia。 one group, consisted of patients with Organ failure,the other consisted of patients with infecfive Shock。It was confirmed that delayed surgery was the main factor of death.Thus the preparation for operating on the patients with shock shouldnt be prolonged for 2-3hours。This simple and efficent operative management is requested。 cholecystostomy, Simple and unreliable, should be avoided.
出处
《锦州医学院学报》
1994年第2期20-22,共3页
Journal of Jinzhou Medical College
