摘要
我科于1980～1983年收治125例重症急性胆管炎,96例治愈,29例死亡。116例经手术治疗,而胆总管切开取石+T型管外引流术目前仍是治疗本病的主要手术方法。文中重点分析了本组病例死亡的原因为:胆管梗阻后,化脓菌及内毒素进入血液,发生中毒性休克。死亡组平均年龄为57.4岁。比全组平均年龄大8.7岁,由于老年人各主要脏器功能减退,抗病与耐受能力较差;患者就诊迟,未能早期明确诊断,延误了手术抢救时机,加上手术方法选择不当,这些均是影响治愈的因素。
One hundred twenty five patients with acute rholangitis severe type(ACST) were treated in our department in 1980 to 1985. Ninety six cases (76.8%) were cured and 29 cases ( 23. 2% ) died. The mean age of the death group was 57.4 years, 8.7 years older than that of all other groups. Among the 125 cases, 116 cases ( 92.8% ) were operated on, 64 cases ( 55.2% ) were treated with choledocholithotomy plus T-tube drain, This paper review some contributory factors leading to death by focusing on bile obstructed duct, pyogonic bacteria and endo- toxine into blood resulting in toxicosis shock.
出处
《蚌埠医学院学报》
CAS
1989年第2期109-111,共3页
Journal of Bengbu Medical College
关键词
胆管炎
化脓菌
内毒素
T型管引流
tevte cholangitis sever type(ACST)
pyogenic baeceria
ndo-texin
choledocholithotomy
T tube drain
