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目的探讨急性梗阻性化脓性胆管炎的手术治疗的临床效果。方法 2011年3年至2012年3月期间,我院诊治的30例急性梗阻性化脓性胆管炎患者,全部给予手术治疗,对所有患者的病例,进行回顾性分析。结果 30例急性梗阻性化脓性胆管炎患者,经过相应的手术治疗后,有28例治愈,其治愈率为93.33%;有2例死亡,其死亡率为6.67%。2例死亡病例中,1例是由于多器官功能衰竭而死亡,1例由于不可逆性休克导致死亡。30例急性梗阻性化脓性胆管炎患者,术后出现3例并发症,其发生率为10.0%,其中切口感染有2例患者,1例患者出现肺部感染,经过相应对症治疗后,3例患者均治愈。结论对于急性梗阻性化脓性胆管炎患者而言,合适的手术时机和正确的手术方式,是提高临床疗效的重要途径。
Objective To investigate the clinical effect of surgical treatment of acute obstructive suppurative cholangitis. Methods From March 2011 to March 2012, all 30 patients with acute obstructive suppurative cholangitis treated by our hospital were treated with surgery and all the patients were retrospectively analyzed. Results In 30 patients with acute obstructive suppurative cholangitis, 28 patients were cured after the corresponding surgical treatment, and the cure rate was 93.33%. There were 2 deaths and the death rate was 6.67%. Of the two deaths, one died of multiple organ failure and one died of irreversible shock. In 30 patients with acute obstructive suppurative cholangitis, there were 3 cases of postoperative complications, the incidence was 10.0%, including incision infection in 2 patients, 1 patient with pulmonary infection, after the corresponding symptomatic treatment, 3 patients Patients were cured. Conclusion For patients with acute obstructive suppurative cholangitis, the appropriate timing of surgery and the correct surgical approach is an important way to improve clinical efficacy.