儿童胆道系统感染的诊断与治疗  

Diagnosis and treatment of biliary infection in children

作　　者：黄志华[1] 刘圣烜[1] 董琛[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院儿科学系,武汉430030

出　　处：《中国小儿急救医学》2011年第6期485-487,共3页Chinese Pediatric Emergency Medicine

摘　　要：儿童胆道系统感染包括急、慢性胆囊炎和胆管炎。急性胆囊炎主要表现为右上腹疼痛，呈持续性胀痛，Murphy征阳性，伴恶心、呕吐，部分患儿有高热、寒战、黄疸，重症者发生昏迷。急性胆管炎发病急骤，以腹痛、寒战、高热和黄疸三联征为临床特征，少数患儿以感染性休克为主要表现，病死率高。本文介绍儿童胆道系统感染的诊断与治疗。Biliary infection in children includes acute and chronic cholecystitis and cholangitis. The main clinical manifestations of acute cholecystitis are right upper-quadrant abdominal pain which is persistent with nan- sea and vomiting,Murphy＇s sign positive. Some of patients have high fever,chills,jaundice,and some severe pa- tients have coma. Acute cholangitis has rapid onset. The most common manifestations are abdominal pain,fever, chills and jaundice which are known as Charcot＇s triad. A few children＇s main manifestation is septic shock which has a high mortality. This article described the diagnosis and treatment of biliary inflammation in children.

关 键 词：胆囊炎 胆管炎 儿童 

分 类 号：R657.4[医药卫生—外科学]