婴儿胆道自发性穿孔9例临床分析  

Analysis of 9Infants of Bile Duct Spontaneous Perforation

作　　者：杜太平[1] 吕书珍 吕淑宏 

机构地区：[1]河南省新乡市中心医院小儿外科,河南新乡453000 [2]河南省新乡市医疗保险中心,河南新乡453000 [3]武警青海省总队医院,青海西宁810000

出　　处：《临床小儿外科杂志》2003年第2期105-106,119,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨婴儿胆道自发性穿孔的诊断与治疗。方法对1996年8月～2002年5月我院收治的9例婴儿胆道自发性穿孔进行回顾性分析。结果除2例未找到穿孔部位单行腹腔引流外,其余病人均行胆总管引流术和腹腔引流术;对胆总管远端狭窄、胆总管远端闭锁、胆总管囊肿3个月后Ⅱ期手术。痊愈8例,1例因全身情况恶化、中毒性休克死亡。结论早期行胆道和腹腔引流手术,控制感染,改善全身情况是提高治愈率的关键。Objective To investigate the diagnosis and treatment of bile duct spontaneous perforation of infants.Method Nine infants with bile duct spontaneous perforation who was hospitalization during from Aug1996to2002were restrospectively analyzed.Results Drainage of abdominal cavity was only used to two cases without perforation.Drainage of choledochus plus abdominal cavity were used to others.StageⅡoperations of stricture,atresia and cysts of choledochus were carried out after three months.8cases of them were recovered.Only one case died from toxic shock,because the infant general condition was deterioration after operation.Conclusions The keys of treatment of spontaneous perforation are operation timely,drainage of choledochus and abdominal cavity,control over the infection and improve ment of general condition of sick infants.

关 键 词：婴儿 胆道自发性穿孔 胆总管引流术 腹腔引流术 手术治疗 

分 类 号：R726.5[医药卫生—儿科]