| 肝内型重症急性胆管炎32例诊治分析 |
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| 引用本文： | 薛浩,李旭宏,何天时,吴勇. 肝内型重症急性胆管炎32例诊治分析[J]. 肝胆外科杂志, 2007, 15(2): 131-133 |
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| 作者姓名： | 薛浩 李旭宏 何天时 吴勇 |
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| 作者单位： | 重庆三峡中心医院,重庆,404000;重庆三峡中心医院,重庆,404000;重庆三峡中心医院,重庆,404000;重庆三峡中心医院,重庆,404000 |
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| 摘 要： | 目的 探讨肝内型重症急性胆管炎(ACST)的诊治经验.方法 总结2001～2006年本院收治的32例肝内型重症急性胆管炎患者的临床资料.结果 5例经保守治疗缓解后行慢诊手术;2例经PTCD治疗缓解后行慢诊手术;25例行急诊手术,术后2例死亡,其余均解除梗阻,通畅引流.结论 肝内型ACST的梗阻部位影响患者的临床表现及预后,多需作急诊手术,根据梗阻部位来选择合适的治疗方式.
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| 关 键 词： | 肝内型重症急性胆管炎 梗阻 诊治 |
| 文章编号： | 1006-4761（2007）02-0131-03 |
| 收稿时间： | 2007-01-10 |
| 修稿时间： | 2007-02-19 |
DIAGNOSIS AND TREATMENT OF INTRAHEPATIC ACUTE CHOLANGITIS OF SEVERE TYPE: A REPORT OF 32 CASES |
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| XUE Hao,LI Xu-hong, HE Tian-shi,et al.. DIAGNOSIS AND TREATMENT OF INTRAHEPATIC ACUTE CHOLANGITIS OF SEVERE TYPE: A REPORT OF 32 CASES[J]. Journal of Hepatobiliary Surgery, 2007, 15(2): 131-133 |
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| Authors: | XUE Hao LI Xu-hong HE Tian-shi et al. |
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| Affiliation: | Department of Hepatobiliary Surgery, Chongqing Sanxia Central Hospital, Chongqing 404000,China |
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| Abstract: | Objective To discuss diagnosis and treatment experience of intrahepatic acute cholangitis of severe type. Methods Data of 32 cases of intrahepatic acute cholangitis of severe type from 2001 to 2006 in our Hospital were collected. Results 5 cases accepted elective operation after conservative treatment and 2 cases accepted elective operation after PTCD treatment. Of the 25 cases treated with emergency operation, 2 cases died after operation, but other patients recovered with successful bile drain after obstruction removed. Conclusion The clinical manifestation and prognosis of intrahepatic acute cholangitis of severe type are related closely to obstruction position and emergency operation is usually necessary. Effective treatment methods should be used according to obstruction position. |
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| Keywords: | Intrahepatic acute cholangitis of severe type obstruction diagnosis and treatment |
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