急性梗阻性化脓性胆管炎47例治疗观察

Observation of the therapy of 47 patients with acute obstructive suppurative cholangitis

目的探讨急性梗阻性化脓性胆管炎（AOSC）患者的临床特点和治疗措施。方法回顾性分析47例急性梗阻性化脓性胆管炎患者的临床资料。结果所有患者均采用手术治疗，其中治愈28例（59．6％），好转16例（34．0％），总有效率93．6％。3例患者因合并严重感染性休克和多器官功能衰竭治疗无效死亡。结论及时手术解除胆道梗阻、控制感染、纠正休克并对并发症进行预防和治疗是降低病死率的关键。

Objective To explore the therapeutic method of acute obstructive suppurative eholangitis （AOSC）. Methods 47 patients with acute obstructive suppurative cholangitis were collected and the clinical feature, therapy methods and therapy effects were analyzed. Results All the patients were accepted operation. 28 patients were cured. The cured rate was 59.6%. 16 patients got improvement and the rate was 34.0%. The total effective rate was 93.6%. The therapeutic effect was better. There were 3 patients died because serious septic shock and multiple systemic organ failure. Conclusion The timely and effective operations to remove the obstruction of biliary tract,controls the infection,corrected the shock and prevent and treat complication were the key of reduce the death rate of patients.