老年急性重症胆管炎的诊治分析
A RETROSPECTIVE STUDY OF DIAGNOSIS AND MANAGEMENT IN ELDERLY PATIENTS WITH ACUTE CHOLANGITIS OF SEVERE TYPE</em>
<p class='article-op'>
<span id="bdshare" class="bdshare_t bds_tools get-codes-bdshare baidufx"><span><span
class="bds_more" style="display: block; width: 62px; height: 29px; background: url(/images/share.gif) no-repeat!important; padding: 0;"></span></span></span>
</p>
<p class="article-source">
<a href ='/article/read.aspx?id=22930320' class='btnTitle btnIsView' target='_blank'><img alt='在线阅读' src='/images/btn-read.png'/></a><a class='btnTitle btnIsView' href="javascript:showdown('2vVetOsYykOcIFyZETx/DLIMxVOipe/ormZMSgaAnyo=')"><img alt="下载全文" src="/images/btn-down.png" /></a>
<input id="hiddowninfo" type="hidden" value="2vVetOsYykOcIFyZETx/DLIMxVOipe/ormZMSgaAnyo="/>
</p>
<div class="collect" style="display: none">
<h5>我的收藏</h5>
<div class="cnt">
<p>
名 称：<input type="text" name="collTitle" id="collSumTitle" />
</p>
<p>
注 释：<input type="text" name="collRemark" id="collSumRemark" />
</p>
<p style="text-align: center;">
<a href="javascript:void(0)" onclick="g_collectSumOk();">
<img width="65" height="17" src="/images_new/collect_ok.png" alt="完成" /></a>
<a href="javascript:void(0)" onclick="g_collectSumCancel();">
<img width="65" height="17" src="/images_new/collect_no.png" alt="取消" /></a>
</p>
</div>
</div>
</div>
<form name="wxTransfer" method="post">
<input type="hidden" name="lid" value="" />
<input type="hidden" name="sip" value="" />
<input type="hidden" name="date" value="" />
<input type="hidden" name="co" value="" />
<input type="hidden" name="Title_C" value="" />
<input type="hidden" name="Writers" value="" />
<input type="hidden" name="Name_C" value="" />
<input type="hidden" name="Num" value="" />
<input type="hidden" name="Years" value="" />
<input type="hidden" name="Volumn" value="" />
<input type="hidden" name="GCH" value="" />
<input type="hidden" name="Vol" value="" />
<input type="hidden" name="BookID" value="" />
<input type="hidden" name="SubjectNum" value="" />
<input type="hidden" name="SpecialNum" value="" />
<input type="hidden" name="mirrorName" value="" />
<input type="hidden" name="UserID" value="" />
<input type="hidden" name="UserName" value="" />
<input type="hidden" name="sourceID" value="" />
</form>
<script type="text/javascript" src="/scripts/transfer.min.js"></script>
<div class="article-detail">
<p class='author'><strong>作 者：</strong><a href='/writer/article.aspx?id=100000007928167' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e9%99%86%e7%90%aa%5d' title='陆琪[1]'>陆琪[1]</a> <a href='/writer/article.aspx?id=100000008656179' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e7%a7%a6%e6%9c%9d%e6%99%96%5d' title='秦朝晖[1]'>秦朝晖[1]</a> <a href='/writer/article.aspx?id=100000014118737' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e6%9d%a8%e5%8b%87%e5%8d%ab%5d' title='杨勇卫[1]'>杨勇卫[1]</a> <a href='/writer/article.aspx?id=100000011806748' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e5%ae%8b%e6%99%93%e5%8d%8e%5d' title='宋晓华[1]'>宋晓华[1]</a> <a href='/writer/article.aspx?id=100000006936813' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e8%a2%81%e7%a5%96%e8%8d%a3%5d' title='袁祖荣[1]'>袁祖荣[1]</a> <em> </em></p><p class='organ'><strong>机构地区：</strong><a href='/organ/article.aspx?id=517&subid=&showname=&searchtype=' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=S%3d%e5%8d%8e%e4%b8%9c%e5%8c%bb%e9%99%a2%e6%99%ae%e5%a4%96%e7%a7%91' title='[1]华东医院普外科,上海市200040'>[1]华东医院普外科,上海市200040</a> <em> </em></p><p class='from'><strong>出 处：</strong><a href='/journal/summary.aspx?gch=81670X' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=J%3d%5b%e8%80%81%e5%b9%b4%e5%8c%bb%e5%ad%a6%e4%b8%8e%e4%bf%9d%e5%81%a5%5d' title='老年医学与保健'>《老年医学与保健》</a>2006年第3期172-173,176,共3页<em>Geriatrics & Health Care</em></p><p class='abstrack'><strong>摘 要：</strong>目的分析老年急性重症胆管炎的特性及提高治疗水平。方法回顾性分析1999年1月至2004年12月本科收治的56例急性重症胆管炎的临床病例。结果7例行ERCP+EST取石或ERCP放置胆道支架,余49例急诊手术,25例发生呼吸系统并发症,其中2例因ARDS死亡,3例发生急性心衰,胆总管残余结石2例,外科并发症较少发生。结论老年ACST患者器官功能衰退,术前合并症多,给诊断和治疗带来一定的困难。但只要积极术前准备,及时手术,术后加强监护,处理合并症及并发症,便可以获得良好的治疗效果。<em>Objective To analyze the characteristics and to increase the therapeutic effects in the elderly patients with acute cholangitis of severe type. Methods The clinical data of 56 cases of elderly patients with ACST from January 1999 to December 2004.were retrospectively reviewed. Results 7 cases underwent ERCP＋EST or deposited bracket in common bile diict, the other 49 cases underwent emergency surgical treatment, 25 cases suffered complications in respiratory system, 2 cases died by ARDS. 3 cases with heart faihu＇e. 2 cases with common bile duct residual calculi, Conclusions The elderly patients with ACST have complications of many chronic diseases, predispose to delayed diagnosis. Satisfactory results can be achieved if the indication and time for operation are selected properly, and the management of the perioperative period is much concerned as well as intensive care after the operation.</em></p><p class='subject'><strong>关 键 词：</strong><a href='/zk/search.aspx?key=K%3d%5b%e8%80%81%e5%b9%b4%e4%ba%ba%5d' title='老年人'>老年人</a> <a href='/subject/article.aspx?id=71701' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e8%83%86%e7%ae%a1%e7%82%8e%5d' title='胆管炎'>胆管炎</a> <a href='/zk/search.aspx?key=K%3d%5b%e8%83%b0%e8%83%86%e7%ae%a1%e9%80%a0%e5%bd%b1%e6%9c%af%5d' title='胰胆管造影术'>胰胆管造影术</a> <a href='/zk/search.aspx?key=K%3d%5b%e5%86%85%e7%aa%a5%e9%95%9c%e9%80%86%e8%a1%8c%5d' title='内窥镜逆行'>内窥镜逆行</a> <a href='/zk/search.aspx?key=K%3d%5b%e6%8b%ac%e7%ba%a6%e8%82%8c%e5%88%87%e5%bc%80%e6%9c%af%5d' title='括约肌切开术'>括约肌切开术</a> <a href='/zk/search.aspx?key=K%3d%5b%e5%86%85%e7%aa%a5%e9%95%9c%5d' title='内窥镜'>内窥镜</a> <a href='/subject/article.aspx?id=72208' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e8%83%86%e7%bb%93%e7%9f%b3%5d' title='胆结石'>胆结石</a> </p><p class='class'><strong>分 类 号：</strong><a href='/zk/search.aspx?key=C%3dR657.45' title='R657.45'>R657.45</a>[<a href = '/domain/article.aspx?id=496' >医药卫生—外科学</a>] </p>
</div>
<div id="content_wzxg" name="wzxg" class="article-graph">
<object width="695" height="250" classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000"
id="FlashID">
<param value="../flash/relation.swf" name="movie">
<param value="high" name="quality">
<param value="opaque" name="wmode">
<param value="6.0.65.0" name="swfversion">
<param value="dataUrl=/ajax/articlerelativegraph.ashx?id=22930320" name="flashVars">
<embed width="695" height="250"
src="../flash/relation.swf" type="application/x-shockwave-flash" quality="high"
wmode="opaque" flashvars="dataUrl=/ajax/articlerelativegraph.ashx?id=22930320">
</embed>
</object>
</div>
<div class="article-relate-list">
<div class="relate-list">
<p id="ckwx_br"> </p>
<h2 name="ckwx" id="ckwx">参考文献：</h2>
<div id="listckwx">
<p class='submit'>
<img src='/images/loading.gif' width='16' height='16' />
正在载入数据...
</p>
</div>
</div>
<div class="relate-list">
<p id="2jckwx_br"> </p>
<h2 name="2jckwx" id="2jckwx">二级参考文献：</h2>
<div id="list2jckwx">
<p class='submit'>
<img src='/images/loading.gif' width='16' height='16' />
正在载入数据...
</p>
</div>
</div>
<div class="relate-list">
<p id="ohwx_br"> </p>
<h2 name="ohwx" id="ohwx">耦合文献：</h2>
<div id="listohwx">
<p class='submit'>
<img src='/images/loading.gif' width='16' height='16' />
正在载入数据...
</p>
</div>
</div>
<div class="relate-list">
<p id="yzwx_br"> </p>
<h2 name="yzwx" id="yzwx">引证文献：</h2>
<div id="listyzwx">
<p class='submit'>
<img src='/images/loading.gif' width='16' height='16' />
正在载入数据...
</p>
</div>
</div>
<div class="relate-list">
<p id="2jyzwx_br"> </p>
<h2 name="2jyzwx" id="2jyzwx">二级引证文献：</h2>
<div id="list2jyzwx">
<p class='submit'>
<img src='/images/loading.gif' width='16' height='16' />
正在载入数据...
</p>
</div>
</div>
<div class="relate-list">
<p id="tbywx_br"> </p>
<h2 name="tbywx" id="tbywx">同被引文献：</h2>
<div id="listtbywx">
<p class='submit'>
<img src='/images/loading.gif' width='16' height='16' />
正在载入数据...
</p>
</div>
</div>
<div class="relate-list">
<p id="xgqklw_br"> </p>
<h2 name="xgqklw" id="xgqklw">相关期刊文献：</h2>
<div id="listxgqklw">
<p class='submit'>
<img src='/images/loading.gif' width='16' height='16' />
正在载入数据...
</p>
</div>
</div>
</div>
</div>
<div class="article-about">
<div class="about-box">
<h5 class="name">相关的主题<tt><a class="hide" href="#"></a></tt></h5>
<div class="about-list">
</div>
</div>
<div class="about-box">
<h5 class="name">相关的作者对象<tt><a class="" href="#"></a></tt></h5>
<div class="about-list" style="display: none;">
</div>
</div>
<div class="about-box">
<h5 class="name">相关的机构对象<tt><a class="" href="#"></a></tt></h5>
<div class="about-list" style="display: none;">
</div>
</div>
</div>
</div>
</div>
<script type="text/javascript" src="/scripts/articlerelation.min.js"></script>
<script type="text/javascript" src="/scripts/articlerightrelation.min.js"></script>
<script type="text/javascript" src="/scripts/articledown.min.js"></script>
<div class="layer-box download" id="downloadlayer" style="display: none">
<div class="close">
<a onclick="closedown()" href="javascript:void(0)">
<img src="/images/layer-close.png" width="21" height="21" alt="" />
</a>
</div>
<h5 class="layer-title">下载全文</h5>
<div id="downloadinfo"></div>
</div>
<div class="layer-box download" id="downloadlayer2" style="display:none;min-height:100px;width:500px;">
<p>
<img src="/images/loading2.gif" width="64" height="64">
<span style="font-size:20px;vertical-align:middle;padding-bottom:50px;">正在链接到云南高校图书馆文献保障联盟下载...</span>
</p>
</div>
<script id="bdshare_js" data="type=tools&uid=0" type="text/javascript"></script>
<script type="text/javascript">
$(function () {
var rd = GetQueryString("rd");
if (rd == "readdown") {
var val = $("#hiddowninfo").val();
showdown(val);
}
$("#bdshare_js").attr("src","http://bdimg.share.baidu.com/static/js/bds_s_v2.js?cdnversion="+Math.ceil(new Date() / 3600000));
})
</script>
<div class="layer-bg" style="display: none;"></div>
<script type="text/javascript" src="/scripts/login.min.js"></script>
<div class="layer-box login" id="divLoginBox" style="display: none;">
<div class="close"><a href="javascript:void(0);" id="btnLoginClose">
<img src="/images/layer-close.png" width="21" height="21" alt="" title="关闭" /></a></div>
<h5 class="layer-title">用户登录</h5>
<div class="layer-cnt">
<div class="search-list adv-object">
<div class="login-alert" id="divLoginError"></div>
<div class="sinput">
<div class="input"><span class="user-ico"></span>
<input type="text" id="txtLUsername" name="txtLUsername" maxlength="20"></div>
</div>
<div class="sinput">
<div class="input"><span class="psw-ico"></span>
<input type="password" id="txtLPassword" name="txtLPassword" maxlength="20"></div>
</div>
<div class="submit">
<input type="button" value="登录" onclick="return normalLogin(loginAfter)" name="" class="btn-s"><input value="IP登录" onclick=" return ipLogin(loginAfter)" type="button" class="btn-c">
</div>
</div>
</div>
</div>
<div id="footer">
<p>
云南高校图书馆联盟文献共享服务平台
版权所有©
<script type="text/javascript">
document.write(new Date().getFullYear());
</script>
</p>
<p>
您的IP：216.73.216.15
</p>
</div>
<input id="hifBaseLog" type="hidden" value="ODE2NzBYOzIyOTMwMzIwO1I2NTcuNDU7MDs7L2FydGljbGUvZGV0YWlsLmFzcHg="/>
<script type="text/javascript">
$(document).ready(function () {
$("#loginLoading").load("/user/loginheader.aspx?" + Math.random());
});
</script>
<script>
var _hmt = _hmt || [];
(function () {
var hm = document.createElement("script");
hm.src = "//hm.baidu.com/hm.js?36a05ff8f5e8a5be3ff03e1d75c8a9d1";
var s = document.getElementsByTagName("script")[0];
s.parentNode.insertBefore(hm, s);
})();
</script>
<script>
(function (i, s, o, g, r, a, m) {
i['GoogleAnalyticsObject'] = r; i[r] = i[r] || function () {
(i[r].q = i[r].q || []).push(arguments)
}, i[r].l = 1 * new Date(); a = s.createElement(o),
m = s.getElementsByTagName(o)[0]; a.async = 1; a.src = g; m.parentNode.insertBefore(a, m)
})(window, document, 'script', '//www.google-analytics.com/analytics.js', 'ga');
ga('create', 'UA-2219013-37', 'auto');
ga('send', 'pageview');
</script>
</body>
</html>
