基层医学论坛
基層醫學論罈
기층의학론단
The Medical Forum
2015年
34期
4765-4766
,共2页
经皮肝穿刺胆管引流(PTCD)%老年%急性梗阻化脓性胆管炎%严重合并症
經皮肝穿刺膽管引流(PTCD)%老年%急性梗阻化膿性膽管炎%嚴重閤併癥
경피간천자담관인류(PTCD)%노년%급성경조화농성담관염%엄중합병증
Percutaneous transhepatic cholangial drainage%Elderly%Acute obstructive suppurative cholangitis%Serious complication
目的：评估经皮肝穿刺胆管引流（PTCD）治疗有严重合并症的老年急性梗阻化脓性胆管炎的疗效和安全性。方法选择我院2010年12月—2014年12月收治的30例有严重合并症的老年急性梗阻化脓性胆管炎患者，均予PTCD治疗，观察其预后情况。结果30例患者，成功治愈28例，成功率（93.3%）；1例穿刺失败，行急诊开腹手术治疗；1例术后引流效果不佳，感染加重致多器官功能衰竭死亡。结论对于有严重合并症的老年急性梗阻化脓性胆管炎患者，PTCD是一种操作简单、安全、有效的治疗方法。
目的：評估經皮肝穿刺膽管引流（PTCD）治療有嚴重閤併癥的老年急性梗阻化膿性膽管炎的療效和安全性。方法選擇我院2010年12月—2014年12月收治的30例有嚴重閤併癥的老年急性梗阻化膿性膽管炎患者，均予PTCD治療，觀察其預後情況。結果30例患者，成功治愈28例，成功率（93.3%）；1例穿刺失敗，行急診開腹手術治療；1例術後引流效果不佳，感染加重緻多器官功能衰竭死亡。結論對于有嚴重閤併癥的老年急性梗阻化膿性膽管炎患者，PTCD是一種操作簡單、安全、有效的治療方法。
목적：평고경피간천자담관인류（PTCD）치료유엄중합병증적노년급성경조화농성담관염적료효화안전성。방법선택아원2010년12월—2014년12월수치적30례유엄중합병증적노년급성경조화농성담관염환자，균여PTCD치료，관찰기예후정황。결과30례환자，성공치유28례，성공솔（93.3%）；1례천자실패，행급진개복수술치료；1례술후인류효과불가，감염가중치다기관공능쇠갈사망。결론대우유엄중합병증적노년급성경조화농성담관염환자，PTCD시일충조작간단、안전、유효적치료방법。
ObjectiveTo evaluate the efficacy and safety of PTCD in the treatment of serious complications in elderly patients with acute obstructive suppurative cholangitis.MethodsSelect 30 cases of serious complications in elderly patients with acute obstructive suppurative cholangitis in our hospital from December 2010 -2014 in December,all patients were treated with PTCD treatment to observe the prognosis.Results30 patients treated with PTCD,28 patients were cured successfully,the success rate(93.3%),1 cases of puncture failure,emergency operation treatment;1 cases with poor drainage effect,the infection caused to multiple organ failure.ConclusionPatients with severe complications in elderly patients with acute obstructive suppurative cholangitis,the treatment of PTCD is a simple,safe and effective method.
