摘要
胆总管结石合并急性胆管炎是普外科常见急腹症之一。根据病情不同,选择不同治疗方案,主要包括保守治疗、内镜治疗、外科手术。保守治疗适用于早期,可适当的应用抗生素。根据病情发展和严重程度,再选择内镜或外科手术治疗,达到胆道减压引流的目的。早期干预治疗,胆总管结石合并急性胆管炎能够明显改善症状。但是,如果治疗延迟或病情进展太快,会导致感染性休克甚至死亡。
Choledocholithiasis combined with acute cholangitis is one of the common acute abdomen in general surgery.According to different conditions,different treatment schemes were selected which mainly include conservative treatment,endoscopic treatment and surgical operation.Conservative treatment depends on early appropriate antibiotics.According to the development and severity of the disease,endoscopic or surgical treatment should be selected to achieve the purpose of biliary decompression and drainage.Through early intervention treatment,choledocholithiasis combined with acute cholangitis can significantly improve symptoms.However,if the treatment is delayed or the disease progresses too fast,it will lead to septic shock and even death.
作者
陈杰
黄敬宇
朱杰
汪路路
苏龙
李新
杨郑
刘万成
石秀全
CHEN Jie;HUANG Jing-yu;ZHU Jie(The People's Hospital of Yingshang,Fuyang 236000,Anhui)
出处
《安徽医专学报》
2021年第6期44-46,共3页
Journal of Anhui Medical College
基金
阜阳市卫健委2019年科研项目(编号:FY2019-094)。
关键词
胆总管结石
急性胆管炎
治疗
choledocholithiasis
acute cholangitis
treatment
