急性重症胆管炎围手术期的处理措施

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.