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胆石症胆道感染并发心包积脓7例分析
引用本文:皮执民,黄仲初,熊寿芝,黄贯学,合并症. 胆石症胆道感染并发心包积脓7例分析[J]. 中南大学学报(医学版), 1985, 0(4)
作者姓名:皮执民  黄仲初  熊寿芝  黄贯学  合并症
作者单位:湖南医学院第二附属医院外科(皮执民,黄仲初,熊寿芝,黄贯学),湖南医学院第二附属医院外科(合并症)
摘    要:
本院26年中胆石症、胆道感染并发心包积脓7例。其中6例死亡,作者指出,凡胆石症并感染的患者出现心肺症状和体征,应警惕本并发症的发生。A型超声和X线检查对诊断有重要帮助。一旦确诊应及时行心包穿刺抽脓或心包造口引流;及时有效地处理胆道原发病灶是预防和减少本并发症的根本措施。

关 键 词:胆石症  胆道感染  心包积脓  肝脓肿  诊断  治疗  合并症

PURULENT PERICARDITIS AS A COMPLICATION OFCHOLELITIHIASIS AND CHOLANGITISA REPORT OF 7 CASES
Pi Zhimin Huang Zhungchu Xiong Shouzhi Huang Guanxue. PURULENT PERICARDITIS AS A COMPLICATION OFCHOLELITIHIASIS AND CHOLANGITISA REPORT OF 7 CASES[J]. Journal of Central South University. Medical sciences, 1985, 0(4)
Authors:Pi Zhimin Huang Zhungchu Xiong Shouzhi Huang Guanxue
Affiliation:Pi Zhimin Huang Zhungchu Xiong Shouzhi Huang Guanxue Department of Surgery,The Second Affiliated Hospital,Hunan Medical College
Abstract:
Purulent pericarditis is a rare but potentially fatal complication of cholelithiasis and cholangitis. 7 cases are reported in this paper which were collected during the past 26 years in our hospital. Early diagnosis and treatment of this condition were discussed. If a patient with cholelithiasis and cholangitis showed symptoms of suppu-rative pericarditis, ultrasonic and X-ray examination are helpful in diagnosis; pericar-diocentesis or pericardiostomy should be considered as soon as the diagnosis is established. Appropriate management of the primary biliary disease is of most importance in order to prevent this severe complication.
Keywords:Cholelithiasis Cholangitis Complications Pericarditis   suppurative Liver abscess Diagnosis Therapy
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