急性梗阻性化脓性胆管炎(附120例分析)

<正> 急性梗阻性化脓性胆管炎(Acuteobstructive Suppurative Cholangitis 简称 AOSC),在我国发病率高,晚期、重症病人死亡率达50%,为胆道良性疾病引起死亡的主要原因。同时,常伴有肝实质损害、胆源性败血症、休克、急性肾衰等严重并发症,故急性梗阻性化脓性胆管炎仍是值得临床探讨的问题。我院近10年来收治胆

ACUTE OBSTRUCTIVE SUPPURATIVE CHOLENGITIS:An Analysis of 120 Cases

Acute obstructive suppurative cholengitis(AOSC) is a common acute abdo- men disease characterized by right epigastric pain,chilliness,high fever, jaundice,shock and coma.The morbidity is high in our country.From 1970 to 1980,1164 cases of biliary tract diseases were admitted to our hospi- tal,among which,120 cases were comfined by operation to be AOSC,and its incidence in biliary tract diseases was 10.3%.The causes usually were gall- stone,ascariasis,stenosis and infection of the biliary tract.Treatment of AOSC should be done emergency operation to relieve the obstruction of the biliary tract after opportune pre-operative preparation.The main causes of death were acute failure of the function of liver and kidney or toxic shock.So antishoek,control infection,to safeguarding liver and kidney and supportive treatment were most important.