42例重症胆管炎治疗体会  

The treatment realize of 42 cases acute obstructive suppurative cholangitis

作　　者：白铁成[1] 刘延民 吕春梅[3] 

机构地区：[1]延安大学医学院附属医院普外科,716000 [2]长庆油田采油一厂职工医院 [3]延安大学医学院附属医院中医科

出　　处：《中国局解手术学杂志》2000年第4期329-330,共2页

摘　　要：目的 重症胆管炎的治疗。方法 回顾性分析42例重症胆管炎的治疗。结果 急诊手术28例,死亡4例。经保守治疗渡过急性期后手术6例,无1例死亡。非手术治疗8例,4例死亡。结论 重症胆管炎诊断明确后,经8～12小时积极治疗病情无好转宜转手术治疗,手术要力求简单,能达到解除胆管梗阻和充分引流即可。胆囊坏疽或积脓需行手术切除,一般以胆囊造瘘为宜。Objective Treatment of acute obstructive suppurative Cholangits. Methods The analyses of 42 cases acute obstructive suppurative cholangitis treatment recally. Results Acute operation 28 cases and death 4 cases. Conservative treatment 6 cases after operation and without one case dead, 8 cases of nonoperation treatment and 4 cases death. Conclusion After acute obstructive suppurative cholangitis diagnose definited, giving 8-12 hours positive treatment later to operation must strive to simple so as to remove bile duct-obstruction and drainage fully. Gangrenous cholecystitis or empyema of gallbladder needs to opertion-excision. Generally gallbladder-fistula making is good.

关 键 词：重症胆管炎 非手术治疗 外科手术 

分 类 号：R657.450.5[医药卫生—外科学]