急性梗阻性化脓性胆管炎160例分析

ACUTE OBSTRUCTIVE SUPPURATIVE CHOLANGITIS AN ANALYSIS OF 160 CASES

本文报告了1952年至1978年用手术方法治疗的急性梗阻性化脓性胆管炎160例。160例中男性65例,女性95例,年龄16～80岁,最普通的梗阻原因是胆结石,最常见的感染细菌是大肠杆菌。主要临床表现是右上腹绞痛,高热寒战和黄疸。全组病例的41.2%合併中毒性休克芩劳雎?4.3%,合併休克病例的死亡率33.3%。基于本组病例的临床表现、手术所见、化验检查与治疗结果,对本病的病因和发病原理、诊断、治疗进行了讨论。

This paper reports 160 cases of acute obstructive suppurative cholangitis treated surgically from 1952—1978 of the 160 cases, 65 were male and 95 female. Age ranged from 15—80 years. The mosl common cause of obstruction was gallstone and the most often organism was E. coll.The main clinical features were colicky pain in the right upper quadrant of the abdomen high fever with chills and jaundice. There were 41.2% of the cases co-existed with toxic shock.The over-all morlality was 14.3% but 33.3% in the shock cases.The etiology pathogenesis diagnosis and treatment are discussed based on the clinical features, operative findings, laboratory studies and the therapeutic results.