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目的探讨急性重症胆管炎的手术治疗措施。方法回顾分析我院2005年6月至2009年6月收治70例采取手术治疗AOST患者的临床资料。结果本组70例中,术后并发切口感染3例,胆汁漏4例,多脏器功能衰竭7例,死亡8例。死亡原因多器官衰竭及脓毒血症,其他患者均痊愈,住院12～30d,平均19.5d。结论ACST一旦确诊,切勿延误时机,应及时采取积极、快速有效的抗休克治疗措施,力求休克能够在短时间内快速得到纠正,为手术创造良好条件。早期快速有效的抗休克治疗对提高ACST治疗效果、降低死亡率具有重要作用。
Objective To investigate the surgical treatment of acute cholangitis. Methods The clinical data of 70 AOS patients who underwent surgery in our hospital from June 2005 to June 2009 were retrospectively analyzed. Results In this group, 70 cases were complicated with incision infection in 3 cases, 4 cases with bile leakage, 7 cases with multiple organ failure and 8 cases died. Multiple organ failure and sepsis causes of death, other patients were cured, hospitalized 12 ~ 30d, an average of 19.5d. Conclusion Once the diagnosis of ACST, do not delay the opportunity, should promptly take active, fast and effective anti-shock treatment measures, to shock quickly corrected in a short period of time, create favorable conditions for surgery. Early rapid and effective anti-shock therapy to improve the ACST treatment, reduce mortality has an important role.