摘要
目的 提高对重症急性梗阻性化脓性肝胆管炎 (单纯肝内胆管梗阻的重症胆管炎称肝内型ACST)的诊断治疗水平 ,减少其死亡率。方法 回顾 1991～ 2 0 0 0年本院收治的 186例重症胆管炎 (ACST)中 2 8例肝内型ACST的临床资料 ,对其临床表现和治疗进行分析探讨。结果 2 8例肝内型ACST出现明显腹痛 8例 ,黄疸 12例 ;15 8例胆总管型ACST出现Charcot三联症 14 9例。将两组的腹痛和黄疸发生率行 χ2 检验 ,两组差异有显著性 (P <0 0 1)。结论 肝内胆管梗阻的重症胆管炎临床表现和治疗有一定的特殊性 ,早期诊断、及时手术能减少其死亡率。
Objective To improve the diagnosis and treatment of acute severe obstructive suppurative cholangitis (ASOSC) and reduce mortality in clinical practice. Methods The clinical data of 186 patients with ASOSC treated in our hospital from 1985 to 1999 were retrospectively analyzed. Of the 186 patients, 28 were with the disease of intrahepatic biliary obstruction. Results Amongst the 28 patients with the disease of intrahepatic biliary obstruction, 8 had bellyache and 12 jaundice. For the 158 patients with the disease of common bile duct obstruction, 149 had Charcot trilogy. There were significant differences in percentages of bellyache and jaundice between the two groups of patients ( P <0.01). Conclusions The clinical finds and treatment of ASOSC of intrahepatic biliary obstruction are special. Earlier and timely operation can reduce its mortality.
出处
《中华肝胆外科杂志》
CAS
CSCD
2004年第2期89-90,共2页
Chinese Journal of Hepatobiliary Surgery
