Kargapolov Iu A, Sysoliatin A A, Kulesha V F, Totskiĭ A A, Korzhenevskaia V A
Khirurgiia (Mosk). 1991 Nov(11):9-12.
Analysis of the results of treatment of 152 patients with acute cholangitis of benign origin made it possible to substantiate two-stage therapeutic tactics consisting in instrumental decompression at the peak to the disease and a corrective intervention conducted after removal of the clinical manifestations of ascending biliary infection and cholemic intoxication. The two-stage method of treatment of acute cholangitis allowed the frequency of purulent complications of hepatic insufficiency to be reduced and the postoperative mortality to be lowered six fold.
对152例良性原因引起的急性胆管炎患者的治疗结果进行分析后,证实了两阶段治疗策略的合理性,该策略包括在疾病高峰期进行器械减压,以及在消除上行性胆道感染和胆血症中毒的临床表现后进行纠正性干预。急性胆管炎的两阶段治疗方法降低了肝衰竭化脓性并发症的发生率,并将术后死亡率降低了六倍。