手术治疗急性重症胆管炎患者的临床疗效

The Clinical Curative Effect of Operation Treatment of Severe Acute Cholangitis

目的探讨手术治疗急性重症胆管炎(ACST)患者的临床疗效。方法收集2012年1月至2014年8月云南省西双版纳州人民医院收治的23例急性重症胆管炎患者的临床资料,给予手术治疗(引流胆汁、解除胆道梗阻)与非手术治疗(营养支持、纠正水电解质酸碱失衡、解痉止痛、抗感染以及抗休克)。结果 23例ACST患者经手术治疗后,治愈21例;病死2例;其中,多器官功能衰竭1例,中毒性休克1例;术后出现并发症6例,多器官功能衰竭1例,切口感染2例,肺部感染3例。结论 ACST患者一旦明确诊断,应尽快做好术前准备,给予手术治疗,提高抢救成功率的关键在于选取合理的手术方式、准确把握手术时机。

Objective To investigate the clinical curative effect of operation treatment of severe acute cholangitis. Methods Colected January 2012 to 2014 August,Xishuangbanna Prefecture of Yunnan Province People＆#39;s Hospital of 23 cases of severe acute cholangitis in patients with clinical data were retrospectively analyzed,given surgery （drainage of bile,biliary obstruction）and non surgical treatment of nutritional support treatment,correct hydropower electrolyte and acid-base imbalance,acetanilide spasmolysis, anti infection and anti shock）.Results 23 cases of ACST patients were treated by operation,21 cases were cured,2 cases died. Among them,1 cases died of multiple organ failure,1 cases died of toxic shock,6 cases of postoperative complications,1 cases of multiple organ failure,2 cases of wound infection,3 cases of pulmonary infection.Conclusion ACST patients should be prepared for the diagnosis as soon as possible,and the key to improve the rescue rate is to select the reasonable operation mode and to grasp the operation time.