肝内梗阻型重症胆管炎256例诊疗分析  

Intrahepatic bile duct obstruction diagnosis and treatment of 256 patients with severe cholangitis

作　　者：胡乐书[1] 刘柏春[1] 田海清[1] 廖国庆[2] 

机构地区：[1]湖南省益阳市中心医院肝胆外科,湖南益阳413000 [2]中南大学湘雅医院胃肠外科,湖南长沙410008

出　　处：《中国当代医药》2011年第19期50-51,共2页China Modern Medicine

摘　　要：目的:探讨肝内梗阻型急性化脓性胆管炎的诊治要点及其病理特点。方法:回顾性分析1986～2006年收治的256例肝内梗阻型重症急性胆管炎患者的临床资料。结果:208例行急诊手术,32例经保守治疗缓解后行择期手术,16例经PTCD治疗缓解后行择期手术,术后16例死亡,其余均解除梗阻,通畅引流。结论:对肝内梗阻型急性化脓性胆管炎的诊断,不能追求所谓典型症状。在及时手术引流肝胆总管的同时,应强调对肝脏的探查,慎防遗漏肝内病灶。Objective：To investigate the intrahepatic bile duct obstruction diagnosis and treatment of acute suppurative cholangitis and its pathological characteristics of elements.Methods：Retrospective analyzed of 1986 to 2006 years,256 cases were admitted with severe acute cholangitis of intrahepatic bile duct obstruction in patients with clinical data.Results：208 routine emergency surgery,32 patients underwent conservative treatment,elective surgery remission,16 patients un derwent remission after PTCD elective surgery,16 patients died after surgery,the rest were to remove the obstruction,un obstructed drainage.Conclusion：The intrahepatic bile duct obstruction diagnosis of acute suppurative cholangitis,not the pursuit of the so-called typical symptoms.Explorer hepatobiliary surgical drainage in a timely manner,it should also put great emphasis on the exploration of the liver,beware of missing liver lesions.

关 键 词：急性化脓性胆管炎 结石 梗阻 肝脓肿 误诊 

分 类 号：R575.7[医药卫生—消化系统]