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内镜下鼻胆管引流加中药治疗急性梗阻性化脓性胆管炎51例
引用本文:王长洪,杨卓,刘杨,麻树人,张宁,李顺明,陆宇平,王立新,高文艳,朱虹,林一帆. 内镜下鼻胆管引流加中药治疗急性梗阻性化脓性胆管炎51例[J]. 中国中西医结合消化杂志, 2005, 13(3): 177-179
作者姓名:王长洪  杨卓  刘杨  麻树人  张宁  李顺明  陆宇平  王立新  高文艳  朱虹  林一帆
作者单位:1. 沈阳军区总医院,中医科,辽宁,沈阳,110016
2. 沈阳军区总医院,消化内镜中心,辽宁,沈阳,110016
摘    要:[目的]观察内镜鼻胆管引流(ENBD)联合中药治疗急性梗阻性化脓性胆管炎(AOSC)的临床疗效。[方法]对51例AOSC患者行胰胆管造影(ERCP)明确梗阻部位后,行ENBD留置鼻胆管至梗阻部位上方,术后给予中药治疗。[结果]51例ENBD成功率100%,治疗后黄疸及发热、腹痛等临床症状、体征均迅速减轻或消失。[结论]内镜ENBD合并清热解毒、利胆中药治疗AOSC安全、有效、可靠。

关 键 词:胆管炎,急性梗阻性化脓性 鼻胆管引流 中药 治疗
文章编号:1671-038X(2005)03-0177-02

Therapeutic effect of endoscopic nasobiliary drainage combined with Chinese herbs in treatment of 51 patients of acute obstructive suppurative cholangitis
WANG Chang-hong,YANG Zhuo,LIU Yang,MA Shu-ren,ZHANG Ning,LI Shun-ming,LU Yu-ping,WANG Li-xin,GAO Wen-yan,ZHU Hong,LIN Yi-fan. Therapeutic effect of endoscopic nasobiliary drainage combined with Chinese herbs in treatment of 51 patients of acute obstructive suppurative cholangitis[J]. Chinese Journal of Integrated Traditional and Western Medicine on Digestion, 2005, 13(3): 177-179
Authors:WANG Chang-hong  YANG Zhuo  LIU Yang  MA Shu-ren  ZHANG Ning  LI Shun-ming  LU Yu-ping  WANG Li-xin  GAO Wen-yan  ZHU Hong  LIN Yi-fan
Abstract:Objective] To observe the therapeutic effect of endoscopic nasobiliary drainage (ENBD) combined with Chinese herbs in the treatment of 51 patients suffered from acute obstructive suppurative cholangitis (AOSC). [Methods] Obstructive positions of 51 AOSC patients were defined after ERCP, then the ENBD was placed to the distance of obstruction. After the operation, Chinese herbs decoction was given to the patients.[Results] The success rate of ENBD was 100% and the jaundice and other symptoms were resolved or reduced in all patients. [Conclusion] ENBD combined with Chinese herbs decoction is a safe, effective and credible therapeutic option for AOSC.
Keywords:cholangitis acute obstructive suppurative  endoscopic nasobiliary drainage  Chinese herb  treatment
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