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急性胆管炎和急性胆囊炎的急诊治疗

Emergent Treatment of Acute Cholangitis and Acute Cholecystitis.

作者信息

Navuluri Rakesh, Hoyer Matthew, Osman Murat, Fergus Jonathan

机构信息

Department of Radiology, The University of Chicago, Chicago, Illinois.

The Johns Hopkins University School of Medicine, Baltimore, Maryland.

出版信息

Semin Intervent Radiol. 2020 Mar;37(1):14-23. doi: 10.1055/s-0039-3402016. Epub 2020 Mar 4.

Abstract

Acute pathology of the biliary tract including cholangitis and cholecystitis can lead to biliary sepsis if early decompression is not performed. This article provides an overview of the presenting signs and symptoms and role of interventional radiology in the management of patients with acute cholangitis or acute cholecystitis. It is especially important to understand the role of IR in the context of other treatment options including medical management, endoscopy, and surgery.

摘要

包括胆管炎和胆囊炎在内的胆道急性病变,如果不早期减压,可导致胆源性脓毒症。本文概述了急性胆管炎或急性胆囊炎患者的临床表现及介入放射学在其治疗中的作用。尤其重要的是要了解介入放射学在包括药物治疗、内镜检查和手术在内的其他治疗选择中的作用。

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Cholangitis: Causes, Diagnosis, and Management.胆管炎:病因、诊断与治疗。
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Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis.东京指南 2018:急性胆囊炎管理流程图。
J Hepatobiliary Pancreat Sci. 2018 Jan;25(1):55-72. doi: 10.1002/jhbp.516. Epub 2017 Dec 20.

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