摘要
目的:探讨急性梗阻性化脓性胆管炎(AOSC)患者的有效临床治疗措施。方法:对我院2009年2月至2011年12月期间收治28例急性梗阻性化脓性胆管炎患者的临床资料进行回顾性分析。结果:28例急性梗阻性化脓性胆管炎患者中,手术治疗26例,其中25例痊愈,1例死亡,2例保守治疗中1例痊愈,1例死亡,2例患者死亡原因为全身多器官衰竭和严重的全身感染,总有效率92.3%,住院天数14～42天,平均23.5天。结论:急性梗阻性化脓性胆管炎(AOSC)明确诊断后应及时手术,解除胆道梗阻充分引流,控制感染抗休克,严密监测肝、肾等全身脏器多功能状况,是提高治愈率,降低病死率的主要治疗方法。
Objective：To investigate the effective clinical therapeutic measures of acute obstructive suppurative eholangitis （AOSC） patients. Methods：To retrospectively analyze the clinical data of 28 patients with AOSC in our hospital form Fe- buray, 2009 to December, 2011. Result：26 paradigms cured by operation and 25 of them fully recovered, 1 of them died. In addition,2 paradigms cured with expectant treatment and one was fully recovered, another one died. Two patients died because of Multiple organ failure and serious systemic infection. The total effective rate is 92.3%. The days lived in hospital are from 14 to 42 and the average is 23.5 days. Conclusion：It should be operated in time if AOSC is diagnosed definitely. To sufficiently drain and remove the obstruction of biliary tract ; to control infection and in case shock ; to seriously monitor the muhifunctional condition of the organ all over the body such as liver and kidney, are the main therapeutic method of increasing the recovery rate and decreasing the fatality rate.
出处
《赣南医学院学报》
2012年第2期239-240,共2页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
梗阻
化脓性
胆管炎
临床分析
obstructive
purulent
cholangitis
clinical analysis
