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目的探讨急性梗阻性化脓性胆管炎的手术治疗措施。方法回顾本院自2005年1月至2009年6月收治70例采取手术治疗急性梗阻性化脓性胆管炎(AOSC)患者的临床资料。结果本组70例中,术后并发切口感染4例,胆汁漏3例,多脏器功能衰竭5例,死亡8例。死亡原因多器官衰竭及脓毒血症,;其余患者均痊愈,住院14～30d。结论急性梗阻性化脓性胆管炎是一种严重的胆道感染性疾病,其临床并发症多,死亡率较高。手术以简化为主,常有症状复发的可能,患者应定期复查;临床应重视早期诊断,积极抗休克,选择正确的术式,可明显降低死亡率。
Objective To investigate the surgical treatment of acute obstructive suppurative cholangitis. Methods The clinical data of 70 patients who underwent surgical treatment of acute obstructive suppurative cholangitis (AOSC) in our hospital from January 2005 to June 2009 were retrospectively reviewed. Results In this group, 70 cases were complicated with incision infection in 4 cases, bile leakage in 3 cases, multiple organ failure in 5 cases, and death in 8 cases. The causes of death were multiple organ failure and sepsis. The remaining patients were cured and hospitalized for 14-30 days. Conclusions Acute obstructive suppurative cholangitis is a serious biliary tract infectious disease with many clinical complications and high mortality. Surgery to simplify the main symptoms often recurrence may be patients should be regularly reviewed; clinical should pay attention to early diagnosis and active anti-shock, select the correct surgical procedures, can significantly reduce the mortality rate.