急性重症胆管炎21例诊治体会-急性重症胆管炎

下载后可任意编辑急性重症胆管炎２１例诊治体会|急性重症胆管炎急性重症胆管炎２１例诊治体会|急性重症胆管炎 [摘要] 目的:探讨外科治疗急性重症胆管炎的方法和效果。方法:回顾我科 20XX 年 9 月～20XX 年 12 月收治的 21 例急性重症胆管炎(ACST)患者的手术和后续治疗情况。结果:19 例手术治疗,17 例痊愈,放弃治疗及死亡各 2 例。结论:对于诊治为 ACST 的患者,应根据不同的病因,积极选择适宜方式手术治疗。 [关键词] 急性重症胆管炎;肝胆管;手术治疗 [中图分类号] R657.4 [文献标识码]B[文章编号]1673-7210(20XX)08(c)-155-02 The comprehension in treatment of 21 cases with acute cholangitis of severe typeZHANG Tao, ZHANG Fengwei, LI Nan (General Surgery Department, Wanhe Hospital of Nanyang City, Nanyang xxxx, China) [Abstract] Objective: To investigate the suitable methods and fine effect for acute cholangitis of severe type(ACST) in surgical treatment. Methods: From September 20XX to December 20XX in our department, the 21 patient"s surgery and follow-up treatment of acute cholangitis of severe type (ACST)were retrospectively analyzed. Results: 17 cases were well-healed in 19 surgical treatment cases, 2 cases were given up and 2 cases dead. Conclusion: To select suitable surgical treatment is necessary for acute cholangitis of severe type patients. [Key words] Acute cholangitis of severe type; Hepatobiliary; Surgical treatment 急性重症胆管炎(acute cholangitis of severe type,ACST)是临床较常见1下载后可任意编辑的重症疾病,主要由肝胆管堵塞引起,并发症和死亡率较高[1],现将我科治疗的21 例急性重症胆管炎进行临床分析,报道如下: 1 资料与方法 1.1 一般资料 我科 20XX 年 9 月～20XX 年 12 月收治急性重症胆管炎 21 例,男 9 例,女 12 例,男女比为 1∶1.4;年龄 39～75 岁,其中 60 岁以上 14 例(66%)。 1.2 病史 多数患者有反复发作,右上腹或剑突下痛苦伴寒战黄疸病史,2 例无明显胆道疾病,4 例有胆道手术史。 1.3 临床表现 大多有腹痛、黄疸、发热,同时合并中毒性休克 6 ...