320例胆石病胆道感染临床诊治分析

320 example cholelithiasis biliary duct infected the clinical diagnosis to analyze

本文对320例胆石病胆道感染行临床分析,认为手术是治疗胆石病胆道感染的主要方法,因为胆道感染的病理改变主要是胆道的炎症和梗阻,而老年人胆石病胆道感染因生理和病理特殊的临床特点,应有充分的认识和正确判断,始终抓住胆道梗阻这个中心环节,做好围手术期处理,选择干扰最小的麻醉和手术方法.因胆石病胆道感染有反复发作特点,所以对已确诊的胆石病胆道感染的患者在未发作时应选择择期手术,发作期的手术时机及手术方法应根据病人的具体情况而定,如果发生急性重症型胆管炎（ACST）,则应及时行胆道引流挽救生命.病情危重、年龄并非手术禁忌症,而是急诊手术指证,应根据具体情况决定.

This article infects a line of clinical analysis to 320 example cholelithiasis biliary duct,thought the surgery treats the main method which cholelithiasis biliary duct infects, because the biliary duct infects the pathology change mainly is the biliary duct inflammation and the obstruction, but the senior citizen cholelithiasis biliary duct infects because of the physiology and the pathology special clinical characteristic, should have the full understanding and the correct judgment, holds the biliary duct to obstruct throughout this center link,completes encircles surgery time processing,the choice disturbs the smallest anaesthesia and the surgery method. Because cholelithiasis biliary duct infection has the repeatedly outbreak characteristic, therefore to has diagnosed cholelithiasis biliary duct infects patient when outbreak should choose picks an auspicious date the surgery,the attack surgery opportunity and the surgery method should decide according to patient＇s special details, if has acute critically ill cholangitis （ACST）,then should and the fashionable biliary duct drainage saving life. Condition seriously injured,age by no means surgery contraindication, but is the emergency medical treatment surgery refers to the card,should act according to the special details decision.