【摘要】 对5例重症急性胆管炎患者使用了经腹小切口肝穿刺胆道引流术,全部患者均于24小时内病情缓解,4—9天内体温正常。3例患者经导管造影,获胆道系统较精确的诊断。本法在直视下操作,避免了胆汁渗漏和出血,适用于病情危笃或胆总管探查有困难的患者。更多还原

【Abstract】 Five cases of acute obstuctive suppurative cholangitis (AOSC) treated with mini-laparotomy open transhepatic biliary drainage (OTD) are reported. The general condition rapidly improved in all cases within 24 hours after OTD, and temperature returned to normal within 4 to 9 days. Gholangiogram through the retention catheter was successful in 3 cases, and it was helpful to further diagnosis and treatment.Since OTD was carried out under direct vision, major complications such as biliary leakge, bleeding from the liver or biliary duct and injury to other organs could be avoided. OTD is a simple, safe and helpful method in treating patients suffering from AOSC, who are critically ill or associated with biliary cirrhosis and portal hypertension, or with massive adhesion around the common bile duct due to previous operation which makes the operation field difficult to expose.更多还原