论文部分内容阅读
通过分析121例急性重症胆管炎(ACST)的临床资料,从22项临床及化验指标中确定以下6项为 ACST 预后危险因素:年龄、平均动脉压、(氵弥)漫性腹膜炎、血清白球蛋白比值和系统器官衰竭数。从分析6项预后因素着手,讨论了 ACST 的病理生理特点,指出胆血屏障是决定 ACST 转归的关键环节,全身各系统器官功能的扶持对于提高 ACST 救治成功率具有重要意义,并以此为基础,提出了 ACST 的临床分期。
By analyzing the clinical data of 121 acute cholangitis (ACST), the following six items were identified from 22 clinical and laboratory indexes as risk factors of ACST: age, mean arterial pressure, diffuse peritonitis, serum albumin Ratio and number of systemic organ failure. Starting with the analysis of six prognostic factors, the pathophysiological characteristics of ACST were discussed. It was pointed out that the biliary barrier was the key factor in the prognosis of ACST. The support of systemic organ function in whole body was of great significance to improve the success rate of ACST treatment. Based on the proposed clinical staging of ACST.