摘要
目的探讨急性重症胆管炎(ACST)病人的手术时机及手术方式的选择。方法回顾性分析我院1993年5月—2008年10月收治的88例ACST病人的诊治及预后情况。结果全组88例,治愈83例,手术期死亡5例(占5.7%)。死亡原因为中毒性休克及多器官功能衰竭。在中毒性休克6h内行手术者全部存活,超过24h者死亡4例。结论 ACST病人应在出现休克或精神症状之前采用手术治疗,简单、迅速、有效的手术方式,可降低病死率。
Objective To discuss of the operative timing and choose of operation method of the patients with acute cholangitis of severe type（ACST）.Methods To retrospectively analyze the treatment and the prognosis of 88 cases of patients of ACST.Results 83 cases were cured,5 cases died in perioperative period,died of toxical shock and MODF.Those patients which had operations in 6 hours after toxical shock survived,4 cases which had operations after 24 hours were died.Conclusion Operation should be done before toxical shock or mental symptoms occur in the patients with ACST.Immediate,Simple and efficient operation could decrease death rate.
出处
《临床合理用药杂志》
2011年第01X期88-89,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
重症胆管炎
急性
手术治疗
Acute cholangitis of severe type
Operative treatment
