CAJ | 학술논문

目的研究在基层医院开展内镜下逆行性胰胆管造影术(ERCP)联合内镜下鼻胆管引流术(ENBD)治疗高龄重症胆管炎的疗效及安全性.方法对42例高龄重症胆管炎患者急诊行ERCP联合ENBD治疗,并比较治疗前后的临床症状、体征、影像学检查及实验室检查的变化.结果 42例高龄重症胆管炎患者行ERCP联合ENBD治疗后,40例治愈,1例ERCP失败转外科手术,1例胆管炎病情好转但死于慢性阻塞性肺疾病所致的呼吸衰竭.结论在基层医院开展ERCP联合ENBD治疗高龄重症胆管炎是安全、有效的,值得在基层医院推广应用.
목적 연구재기층의원개전내경하역행성이담관조영술(ERCP)연합내경하비담관인류술(ENBD)치료고령중증담관염적료효급안전성.방법 대42례고령중증담관염환자급진행ERCP연합ENBD치료,병비교치료전후적림상증상、체정、영상학검사급실험실검사적변화.결과 42례고령중증담관염환자행ERCP연합ENBD치료후,40례치유,1례ERCP실패전외과수술,1례담관염병정호전단사우만성조새성폐질병소치적호흡쇠갈.결론 재기층의원개전ERCP연합ENBD치료고령중증담관염시안전、유효적,치득재기층의원추엄응용.
Objective To investigate the curative effect and safety of endoscopic nose biliary drainage (ENBD) through endoscopic retrograde cholangiopancreatography (ERCP) to treat for elderly patients with acute severe cholangitis in primary hospital.Methods Forty-two elderly patients with acute severe cholangitis were collected,the patients received ENBD through ERCP.The changes of clinical symptoms and signs,imaging examinations and laboratory examinations before and after treatment were compared.Results All 42 patients received ENBD through ERCP,40 patients were cured,1 patient failed in ERCP and then was turned to surgical operation,and 1 patient whose cholangitis condition got better died of respiratory failure because of chronic obstructive pulmonary disease (COPD).Conclusion ENBD through ERCP is a safety and effective treatment which was used to treat for elderly patients with acute severe cholangitis in primary hospital,so this technique is worthy popularizing in primary hospital.