| 急性重症胆管炎急诊手术时机选择的探讨 |
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| 引用本文： | 孙文兵,韩本立.急性重症胆管炎急诊手术时机选择的探讨[J].第三军医大学学报,1992,14(2):118-120. |
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| 作者姓名： | 孙文兵 韩本立 |
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| 作者单位： | 第三军医大学西南医院肝胆外科 630038
(孙文兵，韩本立，张全周，董家鸿，钱光相)，第三军医大学西南医院肝胆外科 630038(蔡景修) |
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| 摘 要： | 对142例急性重症胆管炎(ACST)的临床回顾性和前瞻性研究结果表明,ACST的临床治疗原则应是急诊手术和保守治疗相结合,对于病程短,并发症少的ACST病人,在作好术前准备的前提下,积极的保守治疗具有可行性,ACST生存数学模型有助于ACST急诊手术时机的选择,模型回归值0.40可作为ACST急诊手术预测分界点参考值,它的应用较传统方法可能具有优越性。
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| 关 键 词： | 胆管炎 外科手术 预测 |
A study to probe the selection of optimal time of emergency operation for acute cholangitis of severe type |
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| Sun Wenbing,Han Benli,Zhang Quanzhou,et al.A study to probe the selection of optimal time of emergency operation for acute cholangitis of severe type[J].Acta Academiae Medicinae Militaris Tertiae,1992,14(2):118-120. |
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| Authors: | Sun Wenbing Han Benli Zhang Quanzhou |
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| Abstract: | A retrospective clinical study of 121 cases and a prospective one of 21 cases of acute cholargitis of severe type(ACST)were carried out in order to probe the optimal time of emergency operation for those patients with ACST.The results indicated that the principle of clinical management for ACST is a combination of emergency operation and energetic active conservation therapy.Conservative treatment is practically qualified for the majority of ACST,especially,those cases with short history and a few complication.The survival prediction mathematical model reported previously is helpful to select the optimal time for an emergency operation.The regression value 0.40 of the model can be a reference of the predictive critical point for an operation.The mathematical model possesses more advantage than the traditional method. |
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| Keywords: | cholangitis/SU acute disease forecasting |
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