急性重症胆管炎致死因素分析  

Lethal factors of acute cholangitis of severe type

作　　者：刘思义[1] 朱革非[1] 

机构地区：[1]安徽省宿州市立医院普外一科,安徽宿州234000

出　　处：《中国现代医学杂志》2015年第14期93-96,共4页China Journal of Modern Medicine

摘　　要：目的探讨急性重症胆管炎(ACST)患者死亡的相关因素。方法回顾性分析56例ACST患者的临床资料。结果年龄≥70岁、体温≥39℃或<35℃、血小板计数≤60×109/L、酸中毒、合并心肺肾基础疾病、麻醉及手术时间≥150min、发病至就诊时间≥72h的患者死亡率明显升高,差异有统计学意义。结论 ACST患者死亡因素有许多,如年龄较大、体温明显异常、血小板明显减少、合并心肺肾基础疾病、酸中毒、麻醉及手术时间过长等。[Objective] To investigate death relevant factors of acute cholangitis of severe type （ACST）. [Methods] The relations between mortality and clinical data of 56 patients with ACST were retrospectively analyzed. These patients were treated in our department in the past 7 years. [Results] The death rate signifi- cantly raised in the patients with age ~〉 70 years, temperature ~〉 39~C or 〈 35~C, blood platelet count ~〈 60 x 109/L, consolidated acidosis, underlying cardiopulmonary diseases, time of anesthesia or operation ~〉 150 min- utes or clinical intervention ~〉 72 hours after onset. [ Conclusion] Many factors can bring about the death to the patients with ACST, which include old age, consolidated acidosis, underlying cardiopulmonary diseases, ab- normal temperature, decreased blood platelet number and long time of anesthesia or operation.

关 键 词：急性重症胆管炎 致死因素 

分 类 号：R657.45[医药卫生—外科学]