| 蒋寿林.经皮肝穿刺胆管引流术治疗重症急性胆管炎.[J].中南医学科学杂志.,1988,(1):. |
| 经皮肝穿刺胆管引流术治疗重症急性胆管炎 |
| TREATMENT OF SEVERE ACUTE CHOLANGITIS WITH PERCUT A NEOUS TR A NSHEP ATIC INTER N AL CHOL A NGIODRAINAGE |
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| DOI： |
| 中文关键词: 重症急性胆管炎,置管引流,抗休克,控制感染,缓解黄疸 |
| 英文关键词:severe acute cholangitis putting drain and dainage,antishock controlling infection,relieving jaundice |
| 基金项目: |
| 蒋寿林 |
| 衡阳医学院第一附属医院外科 |
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| 中文摘要: |
| 本文报告作者从1982年以来采用PTCD治疗重症急性胆管炎30例,其中26例(占86.5％)安全渡过了休克关,变急诊手术为择期手术。此法能有效地纠正体克、控制感染和消退黄疸,从而起到类似总胆管引流或胆囊造瘘的作用。 |
| 英文摘要: |
| In this paper, 30 cases who suffered from severe acute sholangitis were treated whth PTCD are reported. Among them 86.6% recovered from shock and infection safely without emergency operation. Because of that, we did scheduled operations on these patients. It eyidented that PTCD could prevent shock, control infection and relieve jaundice effectively. By this method we could get the following two results: drainage from choledochus and cholecystostomy. So the rate of emergency oprations and the fatality rate from this disease were dramatically reduced. The other advantages of PTCD are that, it is not difficult to operate, it is easy to master and it does not requre special appliances. Because of theis, pTCD can be promoted aad used effectively in the rural hospital. |
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