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目的探讨急性梗阻性化脓性胆管炎的治疗措拖。方法对本院自2004年1月至2009年1月AoSC患者的临床资料进行回顾分析。结果本组120例患者中,术后并发切口感染12例,结石残留8例。出院时症状体征完全消失者为痊愈,尚有1～2项轻度症状体征者为好转。120例中治愈75例,好转31例,死亡14例。结论早诊断、合理掌握手术时机和手术方式,做好充分的围手术期处理措施,是降低病死率的关键。
Objective To investigate the treatment of acute obstructive suppurative cholangitis. Methods The clinical data of AoSC patients in our hospital from January 2004 to January 2009 were retrospectively analyzed. Results In this group of 120 patients, 12 cases were complicated by incision infection and 8 cases were residual stones. Discharge of symptoms and signs disappeared completely recovered, there are 1 to 2 mild symptoms and signs were improved. Among 120 cases, 75 cases were cured, 31 cases improved and 14 cases died. Conclusion Early diagnosis, a reasonable grasp of the timing of surgery and surgical approach, adequate perioperative management measures, is the key to reducing mortality.