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目的探讨急性重症胆管炎(ACST)患者的诊断与合理手术方式及手术时机。方法回顾性分析2000年～2008年间收治的21例急性重症胆管炎患者的临床资料。结果治愈19例(90.5%),死亡2例(9.5%),其中1例死于感染性休克及多器官功能衰竭,1例死于低钾血症循环骤停。结论合理把握急性重症胆管炎的手术时机及手术方式是提高治愈率和降低死亡率的关键。加强抗休克,争取早期手术,手术力求简单、有效,以降低死亡率。
Objective To investigate the diagnosis, rational operation and timing of acute severe cholangitis (ACST). Methods The clinical data of 21 patients with acute cholangitis of severe type admitted from 2000 to 2008 were retrospectively analyzed. Results 19 cases (90.5%) were cured and 2 died (9.5%), of which 1 died of septic shock and multiple organ failure, and 1 died of circulatory arrest of hypokalemia. Conclusion It is the key to improve the cure rate and reduce the death rate by reasonably grasping the operation timing and operation mode of acute cholangitis. Strengthen anti-shock, strive for early surgery, surgery seeking simple and effective, to reduce mortality.