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目的:为了了解胆管炎的临床特点以及对预后的关系。方法:对24例胆道闭锁术后患儿进行胆汁、胆汁排出物及其临床表现研究。24例胆道闭锁均行肝门空肠吻合术,23例术后有胆汁排出,胆汁排出率95%。16例(69%)术后发生胆管炎27次。结果:胆管炎前后以及有胆管炎前兆时胆汁量以及胆汁中胆红素含量均有变化。胆管炎对胆道闭锁术后远期生活质量也有影响。结论:当出现胆管炎前兆时,及时处理可防止发生胆管炎,提高疗效。
OBJECTIVE: To understand the clinical features of cholangitis and its relationship to prognosis. Methods: 24 cases of biliary atresia after bile and bile excretion and its clinical manifestations. 24 cases of biliary atresia were performed hepaticojejunostomy, 23 cases had biliary excretion, the rate of biliary excretion was 95%. Cholangitis occurred 27 times in 16 cases (69%). RESULTS: The bile content and the bilirubin content both before and after cholangitis and before cholangitis were changed. Cholangitis also affects the long-term quality of life after biliary atresia. Conclusion: When cholangitis symptoms occur, timely treatment can prevent the occurrence of cholangitis and improve the curative effect.