【摘要】 目的 :探讨急性重症胆管炎 (ACST)病人的手术时机及手术方式的选择。方法 :回顾性分析 130例ACST病人的诊治及预后情况。结果 :治愈 12 0例 ,围手术期死亡 10例。在中毒性休克 6h内行手术者全部存活 ,超过 2 4h 8例 ,除 1例幸存外 ,余7例均于术后 1～ 4d死于中毒性休克、多器官功能衰竭。结论 :ACST病人应在出现休克或精神症状之前采用手术治疗 ,越早手术效果越好 ;简单、迅速、有效的手术方式 ,可降低死亡率。更多还原

【Abstract】 Objective: To discuss of the operative timing and choose of operation method of the patients with acute cholangitis of severe type(ACST). Methods: To retrospectively analyze the treatment and the prognosis of 130 cases of patients of ACST. Results: 120 cases were cured,10 cases died in perioperative period.Those patients which had operations in 6 hours after toxical shock survived.of 8 cases that had operations after 24 hours,7cases died of toxical shock and MODF 1 or 4 days after operations,Only 1 case survived. Conclusion:Operation should be done before toxical shock or mental symptoms occur in the patients with ACST. The earlier the operation is done,the better the prognosis is.Immediate,Simple and efficient operation could decrease death rate.更多还原