重症急性胆管炎的临床分析

Clinical analysis of severe acute cholangitis

目的:探讨急性重症胆管炎(ACST)患者的手术时机及手术方式的选择。方法:回顾性分析65例ACST患者的诊治与预后情况。结果:治愈57例,围手术期死亡8例;在中毒性休克6小时内行手术者全部存活,超过24小时8例,除1例幸存外,余7例均于手术后死于中毒性休克、多器官功能衰竭。结论:ACST患者应在出现休克或精神症状之前采用手术治疗,越早手术效果越好;简单、迅速、有效的手术方式可降低死亡率。

Objectlve：To investigate the operative oppertunit and choice of operative method in patients with severe acute cholangitis.Methods：The clinical data of the diagnosis and treatment as well as the prognosis in 65 patients with severe acute cholangitis were analysed retrospectively.Results：57 cases were cured,8 cases died in perioperative period.Those patients who received operation within 6 hours after toxical shock survived.Of 8 cases who received operation over 24 hours,7 cases died of toxical shock and MODF after operation,only one case survived.Condusion：Operatin should be performed before toxical shock or mental symptoms onset in patients with severe acute cholangitis.The earlier the operation is done,the better is the prognosis.Immedlate,slmple and effective operation could decrease the death rate o this disease.