摘要
目的:探讨急性重症胆管炎(ACST)围手术期的处理措施及注意事项。方法:将在我院接受手术治疗的72例ACST患者进行临床分析,总结救治经验和处理措施。结果:经过积极救治,本组治愈69例,治愈率95.83%;死亡3例,死亡率4.17%;死亡原因:多器官功能衰竭(MOF)1例,感染性休克1例,呼吸衰竭1例。本组出现严重水电解质紊乱3例,经积极补液及维持水电解质平衡等处理均获得纠正。结论:全面系统的围手术期处理措施对提高ACST救治成功率,降低死亡率意义重大。
Objective： To investigate the measurement and announcements of acute cholangitis of severe type in peroperative period. Method： 72 cases with acute cholangitis of severe type were analyzed clinically,and the remedy experience and handling measurement were summurized. Result： By the positive remedy,there were 69 cases with healing,and the healing rate was 95.83%.There were 3 cases with death,and the death rate was.There was 1 case died of MOF,1 case died of infectious shock and 1 case died of respiratory failure.There were 3 cases with severe fluid and electrolyte imbalance,all of them were recovered by fluid infusion and keeping the water-electrolyte balance.The degree of satisfaction was 93.06%. Conclusion： It is important for improving the achievement ratio of remedy and decreasing the death rate to take the overall the handling measure in peroperative period.
出处
《河北医学》
CAS
2012年第5期622-624,共3页
Hebei Medicine
关键词
重症胆管炎
急性
围手术期
处理措施
Severe cholangitis
Acute
Peroperative period
Measurement
