肝内型重症急性胆管炎32例诊治分析  

Diagnosis and treatment of intrahepatic severe acute cholangitis:an analysis of 32 cases

作　　者：薛浩[1] 李旭宏[1] 何天时[1] 吴勇[1] 

机构地区：[1]重庆三峡中心医院肝胆外科,重庆市404000

出　　处：《中华肝胆外科杂志》2007年第11期736-738,共3页Chinese 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年重庆三峡中心医院收治的32例肝内型重症急性胆管炎病人的临床资料。结果5例经保守治疗缓解后行择期手术,2例经PTCD治疗缓解后行择期手术,25例行急诊手术;术后2例死亡,其余病人均达到解除梗阻、通畅引流的目的。结论肝内型ACST的梗阻部位影响病人的临床表现及预后,大多数病人需要作急诊手术,应根据梗阻部位来选择合适的治疗方式。Objective To summarize the experience in diagnosis and treatment of intraheaptic severe acute cholangitis （IHSAC）. Methods The clinical data of 32 patients with IHSAC treated in our hospital from 2001 to 2006 were retrospectively analyzed. Results Of the 32 patients, 5 received elective operation after conservative treatment, 2 elective operation after PTCD and 25 emergency operation. After operation, 2 patients died and 30 had removal of obstruction and smooth bile flow. Conclusion The clinical manifestations and prognosis of the disease is closely related to its obstruction position. Emergency operation is necessary for most of the patients. Appropriate approaches should be selected based on the obstruction position.

关 键 词：梗阻 肝内型重症急性胆管炎 症状 诊断 治疗 

分 类 号：R657.4[医药卫生—外科学]