摘要
目的总结并提高老年急性梗阻性化脓性胆管炎(Acute Obstructed Suppurate Cholangitis,AOSC)的治疗水平。方法对比分析合肥市第二人民医院在开展内镜和介入治疗技术前后5年内老年AOSC病死率的变化。结果在开展内镜和介入治疗技术后老年AOSC病死率有2000年～2005年间的13.1%降低到2005年～2010年间的5%(P<0.05)。结论老年急性胆道感染进展快,治疗过程中必须加强对伴随基础病的治疗,应积极行以手术为主的解除梗阻的治疗。术前行PTCD、ERCP或鼻胆管引流,可降低病死率,并明显改善手术前全身状态,使急诊手术变为择期手术。
Objective To summarize and elevate the therapeutic level of the senile acute obstructed suppurated cholangitis（AOSC）.Methods Contrast analysis the senile cases with AOSC mortality before and after 5 years of developing the endoscopic and intervention treatment for AOSC.Results In developing the endoscopic and intervention treatment for AOSC,the mortality of AOSC between 2000 and 2005 the 13.1% down to between 2005 and 2010 of 5%（P0.05）.Conclusion The symptoms in patient with AOSC may be atypical and the process is fast,in treatment.Great attention must be paid to the treatment or control of companied systemic diseases.It should be positive to have operation in order to release the obstruction or drain the bile duct as fast and effective as possible.PTCD、ERCP,or nasobiliary drainage before operation should be advocated aS routine which can improve the general condition and make selective operation possible.
出处
《肝胆外科杂志》
2011年第6期427-428,共2页
Journal of Hepatobiliary Surgery
关键词
AOSC
老年
临床治疗
AOSC
the senile
clinical treatment
