重症胆管炎的诊断与治疗

王荣峰; 吕毅; 张晓刚

doi:10.3969/j.issn.1001-5256.2019.12.002

重症胆管炎的诊断与治疗

DOI: 10.3969/j.issn.1001-5256.2019.12.002

西安交通大学第一附属医院肝胆外科

详细信息

中图分类号: R657.45
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出版历程
- 收稿日期: 2019-10-29
- 出版日期: 2019-12-20

Advances in the diagnosis and treatment of severe acute cholangitis

Department of Hepatobiliary Surgery,The First Affiliated Hospital of Xi'an Jiaotong University

摘要

摘要: 重症胆管炎又称急性梗阻性化脓性胆管炎,起病急,病情发展迅速,是良性胆道疾病的首要死亡因素(尤其在高龄患者中),常伴有多系统器官功能衰竭的情况。其症状及体征多样化,诊断分级及预后标准常不一致。随着外科微创及内镜技术发展,重症胆管炎的诊治效果得到不断改善。如何根据预后因素评判、选择最佳手术时机,个体化选择胆道引流方式,全面、规范、及时抗感染治疗,在重症胆管炎的治疗中具有非常重要的意义。
- 胆管炎 /
- 诊断 /
- 抗菌药 /
- 引流术 /
- 治疗学
Abstract: Severe acute cholangitis,also called acute obstructive suppurative cholangitis( AOSC),has acute onset and rapid progression and is the primary cause of death in patients with benign biliary tract diseases,especially in elderly patients,and it is often complicated by multiple system organ failure. This disease has diversified symptoms and signs,which leads to the inconsistency in diagnostic grading and prognosis criteria. With the development of minimally invasive surgery and endoscopic techniques,the diagnosis and treatment of severe acute cholangitis has been constantly improved. Therefore,judgment and selection of the optimal surgical timing,individualized biliary drainage,and comprehensive,standardized,and timely anti-infective therapy based on prognostic factors have great importance in the treatment of severe acute cholangitis.
- cholangitis /
- diagnosis /
- anti-bacterial agents /
- drainage /
- therapeutics

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参考文献(50)

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