ERCP治疗老年急性胆管炎51例分析  

An analysis of 51 senile patients with acute cholangitis treated by ERCP

作　　者：史伟[1] 孙仁虎[1] 韩树堂[1] 

机构地区：[1]江苏省中医院消化内镜中心,210029

出　　处：《江苏医药》2016年第12期1379-1380,共2页Jiangsu Medical Journal

摘　　要：目的探讨内窥镜下逆行胰胆管造影术(ERCP)治疗老年急性胆管炎的疗效及安全性。方法急性胆管炎患者51例,年龄80岁以上,接受ERCP治疗,回顾性分析ERCP治疗的安全性和疗效。结果 51例中,手术成功49例(96.1%)。术后72h,发热、腹痛等症状明显好转,WBC、TBil和肝功能也明显改善。术后并发心功能不全3例(5.9%),心肌梗死1例(2.0%),高淀粉酶血症5例(9.8%),胰腺炎1例(2.0%);经过治疗后好转,未见出血、穿孔等并发症。无死亡病例。结论ERCP治疗老年急性胆管炎安全、有效。Objective To investigate the clinical effect and safety of endoscopic retrograde cholangiopancreatography（ERCP） in the treatment of senile patients with acute cholangitis. Methods Clinical data of 51 acute cholangitis patients aged more than 80 years old and underwent ERCP were retrospectively analyzed. Results Of 51 cases, ERCP was successful in 49 cases with obvious improvements of WBC, liver functions, fever and abdomin pain after 72 hours. There were 5 cases with cardiac insufficiency, 1 case with myocardial infarction, 5 cases with hyperamylasemia,and 1 case with pancreatitis after operation,which were improved after treatment without any case with perforation, bleeding or death. Conclusion ERCP is safe and effective for treating senile patients with acute cholangitis.

关 键 词：内窥镜下逆行胰胆管造影术 急性胆管炎 老年 

分 类 号：R657[医药卫生—外科学]