| 重症急性胆管炎32例临床分析 |
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| 引用本文： | 王家文,钱小星.重症急性胆管炎32例临床分析[J].河北医学,2004,10(11):1010-1011. |
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| 作者姓名： | 王家文 钱小星 |
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| 作者单位： | 安徽省合肥市第二人民医院,安徽,合肥,230011;安徽省合肥市第二人民医院,安徽,合肥,230011 |
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| 摘 要： | 目的：探讨重症急性胆管炎(ACST)的诊断和治疗方法。方法：回顾性分析32例ACST病人的治疗情况。结果：死亡4例。其中手术治疗死亡2例。早期大剂量应用地塞米松治疗的病人休克得到纠正(80％、8/10)，明显高于未用地塞米松的病人(50％、4/8)。结论：ACST病人应尽早手术。应早期大剂量应用地塞米松治疗ACST。
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| 关 键 词： | 胆管炎 治 疗 |
| 文章编号： | 1006-6233(2004)11-1010-02 |
Clinical analysis of 32 cases of severe acute cholangitis |
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| WANG Jia-wen,QIAN Xiao-xing.Clinical analysis of 32 cases of severe acute cholangitis[J].Hebei Medicine,2004,10(11):1010-1011. |
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| Authors: | WANG Jia-wen QIAN Xiao-xing |
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| Abstract: | Objective: To explore the effecfive therapeutic measure for severe acute cholangitis (ACST). Method: Retrospective analysis was made on the treatment and prognosis of 32 patients with ACST. Result: Of 32 patients. 6 died with death rate of 18.8%. There are 4 died from surgical management. Of 10 patients treated with dexamethasone, there are 8 patients whose shocks were corrected, while of 8 patients who were not treated with dexamefhasone. Only 4 patients were recovered. Conclusion: Surgical treatment should be done in the early stage. Dexamethasone should be used for fhe patients with ACST. |
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| Keywords: | Cholangitis Treatment |
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