Nychytaĭlo M Iu, Shkarban V P
Klin Khir. 2007 Nov-Dec(11-12):76-8.
The results of observation and treatment of 137 patients with choledocholithiasis complicated acute cholangitis are presented. The estimated scale APACHE II is adopted for the state severity of patients with choledocholithiasis and cholangitis sigh determination are examined. With multivariant correlative-regression analysis the most informative factors are determined, its grade estimation are carrying out. Optimal treatment tactics depended from state severity is definited. It permits to improve the treatment results owing to decrease of postoperative complications frequency, duration of patients therapy in hospital.
本文介绍了137例胆总管结石合并急性胆管炎患者的观察与治疗结果。采用APACHE II评分系统评估胆总管结石患者的病情严重程度,并检查胆管炎体征。通过多变量相关回归分析确定最具信息量的因素,并进行分级评估。确定了取决于病情严重程度的最佳治疗策略。这有助于通过降低术后并发症发生率和缩短患者住院治疗时间来提高治疗效果。