肝内型重症急性胆管炎32例诊治分析  

DIAGNOSIS AND TREATMENT OF INTRAHEPATIC ACUTE CHOLANGITIS OF SEVERE TYPE:A REPORT OF 32 CASES

作　　者：薛浩[1] 李旭宏[1] 何天时[1] 吴勇[1] 

机构地区：[1]重庆三峡中心医院,重庆404000

出　　处：《肝胆外科杂志》2007年第2期131-133,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探讨肝内型重症急性胆管炎（ACST）的诊治经验。方法总结2001-2006年本院收治的32例肝内型重症急性胆管炎患者的临床资料。结果5例经保守治疗缓解后行慢诊手术;2例经PTCD治疗缓解后行慢诊手术;25例行急诊手术,术后2例死亡,其余均解除梗阻,通畅引流。结论肝内型ACST的梗阻部位影响患者的临床表现及预后,多需作急诊手术,根据梗阻部位来选择合适的治疗方式。Objective To discuss diagnosis and treatment experience of intrahepatic acute cholangitis of severe type. Methods Data of 32 cases of intrahepatic acute cholangitis of severe type from 2001 to 2006 in our Hospital were collected. Results 5 cases accepted elective operation after conservative treatment and 2 cases accepted elective operation after PTCD treatment. Of the 25 cases treated with emergency operation, 2 cases died after operation, but other patients recovered with successful bile drain after obstruction removed. Conclusion The clinical manifestation and prognosis of intrahepatic acute cholangitis of severe type are related closely to obstruction position and emergency operation is usually necessary. Effective treatment methods should be used according to obstruction position.

关 键 词：肝内型重症急性胆管炎 梗阻 诊治 

分 类 号：R657.4[医药卫生—外科学]