急性重症胆管炎49例治疗体会  

Experience of severe acute cholangitis in 49 patients

作　　者：王羽 胡运清 

机构地区：[1]湖北省襄樊市康达医院普外科,441003

出　　处：《腹部外科》2007年第6期360-361,共2页Journal of Abdominal Surgery

摘　　要：目的探讨急性重症胆管炎的临床特点及其治疗方法。方法对我院1992年1月～2007年3月收治的急性重症胆管炎49例的临床资料进行回顾性分析。结果本组行急诊手术治疗37例,非手术治疗12例。死亡5例。其中,死于较复杂的手术术后3例,死于非手术治疗2例。死亡原因均为脏器功能衰竭。余者均治愈。结论急性重症胆管炎应首选手术治疗。损伤控制性手术理念有助于选择该病的最佳治疗方法。Objective To evaluate clinical characteristic and treatments of severe acute cholangitis（SAC）. Methods Clinic data of 49 patients with SAC in our hospital from January 1992 to March 2007 were retrospectively analyzed. Results Emergency operation was performed on 37 cases and nonoperation on 12 cases. Three patients died after complicated operation and 2 cases died of non-opera- tion, Organ failure was the main cause of death. Forty-four cases were cured. Conclusion Operation should be selected first for SAC patients. The idea of damage control surgery is conductive to the best treatment for SAC.

关 键 词：胆管炎 胆结石 消化系统外科手术方法 

分 类 号：R657.45[医药卫生—外科学]