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[尿毒症性胆管炎]

[Uremigenic cholangitis].

作者信息

Sandu L, Popescu I

出版信息

Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1975 May-Jun;24(3):229-33.

PMID:127229
Abstract

The treatment is presented, applied in a case of severe angiocholitis complicated by acute renal failure, known in the literature under the name of uremigenic angiocholitis. After three emergency hospitalizations, two interventions consisting in surgical drainage, de-shocking procedures, treatment of the hepato-renal failure and applications of wide-range antibiotics for the treatment of infection the angiocholitic phenomena disappeared and the hepato-renal failure is on the way to recovery. At this moment of the evolution the patient developed atrial fibrillation that was improved by Narcotan anesthesia. The efficiency is remarked of the treatment with large amounts of Furosemid in the anuric period, as a means to avoid extra-renal depuration.

摘要

本文介绍了一种治疗方法,该方法应用于一例并发急性肾衰竭的严重血管胆管炎患者,该病症在文献中被称为尿毒症性血管胆管炎。经过三次急诊住院治疗,包括两次手术引流、抗休克治疗、肝肾衰竭治疗以及使用广谱抗生素治疗感染后,血管胆管炎症状消失,肝肾衰竭正在恢复。在病情发展的这个阶段,患者出现了心房颤动,通过纳可酮麻醉得到了改善。在无尿期大量使用速尿进行治疗的效果显著,这是避免肾外净化的一种手段。

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