有胆道手术史老年重症胆管炎67例诊治体会  

The experience of diagnosis with biliary surgeries older intensive cholangitis in 67 cases

作　　者：韦德康[1] 覃强[1] 凌伟明[1] 

机构地区：[1]广西壮族自治区河池市人民医院外一科,广西河池547000

出　　处：《中国当代医药》2012年第1期177-178,共2页China Modern Medicine

摘　　要：目的:分析老年人有胆道结石手术史再发结石致重症胆管炎(ACST)的术前处理、手术时机及手术方式,以提高治愈率和降低死亡率。方法:回顾分析本院收治67例有胆道手术史的老年重症胆管炎患者资料。结果:本组67例,治愈出院56例,死亡11例,占16%。结论:术前经皮肝穿胆道引流术(PTCD)减压并充分抗休克后,再手术解除梗阻是提高治愈率降低死亡率的重要方法。Objective： To analyze the preoperative treatment, the operation time and operation method of acute cholangitis of severe type （ACST） in old patients with biliary calculi surgeries, in order to increase the cure rate and reduce mortality. Methods： Clinical data of sixty-seven cases of severe cholangitis patients with biliary surgeries in our hospital were analyzed. Results： In the 67 cases, 56 cases were cured and discharged, 11 cases were dead, accounting for 16%. Conclusion： Preoperative percutaneous liver biopsy biliary drainage technique （PTCD） reduced pressure and fully resistance to shock and then remove obstruction is an important method to improve recovery rate and reduce mortality rate.

关 键 词：经皮肝穿胆道引流术 胆道手术史 老年重症胆管炎 术前准备 手术时机 手术方式 

分 类 号：R657.4[医药卫生—外科学]