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肝内胆管结石重症急性并发症的常见类型及临床诊治进展
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作者 李瑞栋 《现代医学与健康研究电子杂志》 2024年第13期131-134,共4页
肝内胆管结石指始发于肝内胆管系统的结石,是临床肝胆外科的一种常见和难治性疾病,其原因在于该病具有病变广泛、病情复杂、并发症发生率和复发率高的特点。肝脓肿、化脓性梗阻性胆管炎等为重症急性并发症的常见类型,其治疗难度较大。... 肝内胆管结石指始发于肝内胆管系统的结石,是临床肝胆外科的一种常见和难治性疾病,其原因在于该病具有病变广泛、病情复杂、并发症发生率和复发率高的特点。肝脓肿、化脓性梗阻性胆管炎等为重症急性并发症的常见类型,其治疗难度较大。现阶段临床工作中在对肝内胆管结石进行治疗时,首选外科治疗,如去除结石、解除梗阻、通畅引流,同时辅以营养支持与抗感染治疗。肝内胆管结石重症急性并发症的治疗方法众多,但各治疗方法均有其自身局限和不足。现通过对肝内胆管结石重症急性并发症的常见类型及临床诊治情况进行分析总结,为肝内胆管结石重症急性并发症预防与应对提供理论依据。 展开更多
关键词 肝内胆管结石 重症急性并发症 诊断
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肝内胆管结石重症急性并发症综合治疗进展 被引量:1
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作者 徐文东 孙早喜 《中华实验外科杂志》 CAS 北大核心 2023年第1期179-181,共3页
肝内胆管结石(hepatolithiasis)又称原发性肝内胆管结石,是肝胆外科常见的难治性疾病,特别是并发化脓性梗阻性胆管炎、肝脓肿,治疗十分棘手。"通畅引流、解除梗阻、去除结石"的外科治疗+抗生素治疗及生命支持治疗将是肝内胆... 肝内胆管结石(hepatolithiasis)又称原发性肝内胆管结石,是肝胆外科常见的难治性疾病,特别是并发化脓性梗阻性胆管炎、肝脓肿,治疗十分棘手。"通畅引流、解除梗阻、去除结石"的外科治疗+抗生素治疗及生命支持治疗将是肝内胆管结石重症急性并发症治疗的重要方法。本文就肝内胆管结石重症急性并发症的综合治疗进行综述。 展开更多
关键词 肝内胆管结石 重症急性并发症 综合治疗
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重症急性胰腺炎相关并发症的观察与护理 被引量:1
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作者 申霞 《国医论坛》 2008年第6期37-37,共1页
关键词 重症急性胰腺炎并发症 患者 临床护理 护理方法
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重症急性呼吸道综合征致心脏损害的临床探讨
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作者 黄月华 李时悦 梁增伟 《临床内科杂志》 CAS 北大核心 2004年第2期130-131,共2页
目的 探讨重症急性呼吸综合征 (SARS)病毒对心脏的影响。方法 观察SARS病人 ( 66例 )与普通病毒病人 ( 70例 )心率、心肌酶、心电图、心脏B超和预后情况并作比较 ;同时观察SARS重症病人 ( 3 0例 )与轻中度SARS病人 ( 3 6例 )心脏损害... 目的 探讨重症急性呼吸综合征 (SARS)病毒对心脏的影响。方法 观察SARS病人 ( 66例 )与普通病毒病人 ( 70例 )心率、心肌酶、心电图、心脏B超和预后情况并作比较 ;同时观察SARS重症病人 ( 3 0例 )与轻中度SARS病人 ( 3 6例 )心脏损害的程度。结果 SARS病人较普通病毒病人较易出现心脏损害 ,但预后比较差异无显著性 ;而重症SARS病人较轻中度SARS病人易出现心律失常 ,但心肌酶及ST T异常与预后比较差异无显著性。结论 SARS病毒较普通病毒易导致心肌损害 ,重症SARS病人心律失常较轻症者严重 ;早期。 展开更多
关键词 重症急性呼吸综合征/并发症 心律失常 预后
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Study progress on mechanism of severe acute pancreatitis complicated with hepatic injury 被引量:18
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作者 ZHANG Xi-ping WANG Lei ZHANG Jie 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2007年第4期228-236,共9页
Study on the action mechanism of inflammatory mediators generated by the severe acute pancreatitis (SAP) in multiple organ injury is a hotspot in the surgical field. In clinical practice, the main complicated organ ... Study on the action mechanism of inflammatory mediators generated by the severe acute pancreatitis (SAP) in multiple organ injury is a hotspot in the surgical field. In clinical practice, the main complicated organ dysfunctions are shock, respiratory failure, renal failure, encephalopathy, with the rate of hepatic diseases being closely next to them. The hepatic injury caused by SAP cannot only aggravate the state of pancreatitis, but also develop into hepatic failure and cause patient death, lts complicated pathogenic mechanism is an obstacle in clinical treatment. Among many pathogenic factors, the changes of vasoactive substances, participation of inflammatory mediators as well as OFR (oxygen free radical), endotoxin, etc. may play important roles in its progression. 展开更多
关键词 Severe acute pancreatitis Hepatic injury Inflammatory mediators CYTOKINES ENDOTOXIN Nuclear factor-κB
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Extra-pancreatic complications,especially hemodialysis predict mortality and length of stay,in ICU patients admitted with acute pancreatitis 被引量:6
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作者 Darshan Kothari Maarten R.Struyvenberg +3 位作者 Michael C.Perillo Ghideon Ezaz Steven D.Freedman Sunil G.Sheth 《Gastroenterology Report》 SCIE EI 2018年第3期202-209,I0001,共9页
Background and aims:Patients in the intensive care unit(ICU)with acute pancreatitis(AP)are at risk for extra-pancreatic complications given their severe illness and prolonged length of stay.We sought to determine the ... Background and aims:Patients in the intensive care unit(ICU)with acute pancreatitis(AP)are at risk for extra-pancreatic complications given their severe illness and prolonged length of stay.We sought to determine the rate of extra-pancreatic complications and its effect on length of stay(LOS)and mortality in ICU patients with AP.Methods:We performed a retrospective cohort study of ICU patients admitted to a tertiary-care center with a diagnosis of AP.A total of 287 ICU patients had a discharge diagnosis of AP,of which 163 met inclusion criteria.We calculated incidence rates of extra-pancreatic complications and performed a univariate and multi-variable analysis to determine predictors of LOS and mortality.Results:There were a total of 158 extra-pancreatic complications(0.97 extra-pancreatic complications per patient).Ninetyfive patients had at least one extra-pancreatic complication,whereas 68 patients had no extra-pancreatic complications.Patients with extra-pancreatic complications had a significantly longer LOS(14.7 vs 8.8 days,p<0.01)when controlling for local pancreatic complications.Patients with non-infectious extra-pancreatic complications had a higher rate of mortality(24.0%vs 16.2%,p=0.04).Patients requiring dialysis was an independent predictor for LOS and mortality(incidence risk ratio[IRR]1.73,95%confidence interval[CI]:1.263–2.378 and IRR 1.50,95%CI 1.623–6.843,p<0.01)on multi-variable analysis.Coronary events were also a predictor for mortality(p=0.05).Other extra-pancreatic complications were not significant.Conclusions:Extra-pancreatic complications occur frequently in ICU patients with AP and impact LOS.Patients with noninfectious extra-pancreatic complications have a higher mortality rate.After controlling for local pancreatic complications,patients requiring dialysis remained an independent predictor for LOS and mortality. 展开更多
关键词 Severe acute pancreatitis extra-pancreatic complications intensive care unit length of stay in-hospital mortality INFECTIONS
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