梗阻性黄疸术后死亡原因探讨：（附140例分析）

本文回顾分析140例梗阻性黄疸术后死亡原因,结果发现,感染、中毒性休克、肾衰、肝衰和消化道出血等是梗阻性黄疸术后最常见的并发症和主要死亡原因。其中,肾、肝功能掼害程度远较以往临床所想象的严重。因此,对梗阻性黄疸病人肝、肾功能障碍的防治值得十分重视。内毒素血症是引起休克、肾衰以及消化道出血的重要原因,采取中西医结合的方法防治内毒素血症,可望改善预后,很值得进一步探索。

Causes of Death after Operative Treatment for Obstructive Jaundice: A Review of 140 Patients

Aretrospective study of 140 patients with obstructive jaundice who died after operation was made. The results showed that infection, septie shock, renal failure, hepatic failure and haemorrhage of the alimentary canal, etc. were still the most common complication and main causes of death and in which the damage on the renal and li ver functions was far more serious than it was known before. The protec tion on renal and liver functions in patients having obstructive jaundice should be emphasized. Previous studies have shown that the endotoxins were the main cause of shock, renal failur or intestinal bleeding, etc. Preventive measures and treatment with combined therapy of the tranditional chinese medicine and westernmedictne might givea better chance to improve the prognosis of patients with obstructive jaundice.