急性重症胆管炎并发DIC的急诊内镜治疗

摘要

目的 探讨伴弥散性血管内凝血的急性重症胆管炎的治疗方法.方法 对15例伴弥散性血管内凝血(DIC)的急性重症胆管炎(ACST)患者采取急诊内镜治疗,并对患者各项临床资料进行回顾性分析.结果 入院8h内13例患者全部成功完成经鼻胆道引流(ENBD),解除胆道梗阻,引流通畅,DIC得到纠正,12例患者治愈,3例死于多器官功能衰竭.结论 急诊内镜治疗对伴弥散性血管内凝血的急性重症胆管炎是安全的、有效的,是该疾病的首选治疗方案.%Objective To discuss the method to treat acute cholangitis of severe type (ACST) with disseminated intravascular coagulation (DIC).Method The 15 ACST patients with DIC received emergency endoscopic treatment,and their clinical data were analyzed retrospectively.Results 13 patients hospitalized in 8 hours were successfully treated with Endoscopic nasobiliary drainaging (ENBD),the symptoms of biliary obstruction and DIC were improved.Of these patients,12patients were cured,3 patient died as a result of multiple organ failure (MOF).Conclusion The method of emergency endoscopic treatment for ACST patients with DIC is safe and effective,this method should be considered as the first treatment for those patients with DIC.