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目的探讨重症急性胆管炎(ACST)患者的手术时机和手术原则及影响预后的因素。方法回顾性总结分析我院57例手术治疗ACST病例资料。结果 57例中合并中毒性休克32例,入院6h内手术52例,死亡1例,6h后手术5例,死亡2例。结论 ACST起病急,病情重,并发症多,死亡率高,必须争分夺秒地早期采用胆道减压,胆汁引流手术,术式力求简单有效;高龄,基础疾病,休克难纠正,合并多器官功能不全是影响预后及死亡的主要原因。
Objective To investigate the operative timing and surgical principles of patients with severe acute cholangitis (ACST) and their prognostic factors. Methods Retrospective analysis of 57 cases of surgical treatment of ACST in our hospital data. Results In 57 cases, 32 cases were complicated with toxic shock, 52 cases were operated within 6 hours after admission, 1 case died, 5 cases were operated after 6 hours and 2 cases died. Conclusion ACST onset acute, severe illness, complications, high mortality, you must race against time to early use of biliary decompression, bile drainage surgery, surgery to seek simple and effective; elderly, basic diseases, shock difficult to correct, combined with multiple organ dysfunction Is the main reason affecting the prognosis and death.