重症急性胆管炎72例治疗分析

目的探讨提高重症急性胆管炎(ACST)治愈率的方法.方法分析72例ACST患者的临床资料,在快速补液和抗休克的同时早期大剂量应用糖皮质激素及手术等综合治疗.结果治愈65例,治愈率90.28%.应用地塞米松后休克较快得以纠正.术前休克基本纠正16例,死亡1例,病死率6 25%;休克未能纠正9例,死亡2例,病死率22.22%.结论重视ACST的围手术期综合治疗.早期大剂量应用糖皮质激素可明显缓解休克症状.术前休克基本纠正者病死率明显降低.手术治疗仍为目前的主要手段.

Analysis on 72 cases of severe acute cholangitis

[Objective] To investigate the method to improve the cure rate of Acute Cholangitis of Type(ACST). [Method] To analyze clinic materials of ACST patient of 72 cases, in the early stage using glucocorticoids with being heavy dose of and operation while giving the fast fluid infusion and resisting the shock complex treatment. [Result] To cure 65 cases ,cure rate is 90.28%. The shock patients can be corrected quickly after using dexamethasone. Before operation 16 cases of the shock can be corrected basically, 1 case of death, fatal rate is 6.25%; 9 cases of the shock cannot be corrected, 2 cases of death, fatal rate is 22.22%. [Conclusion] To pay attention to ACST patients, complex treatment during the operation. In the early stage using glucocoticoids can obviously alleviate the shock symptom while being heavy dose. The fatality rate for the shock is basically corrected is much lower than that for the shock is not corrected before the operation. Operation is still the main method at present.