Pieron R, Grivaux M, Cocheton J J, Vergez P, de Plunkett T L, Meyniel D
Sem Hop. 1983 Oct 6;59(35):2475-7.
A case of angiocholitis with polymicrobic septicemia in an 85-year-old man with a history of cholecystectomy and choledocho-duodenal anastomosis is reported. The biliary tract was obstructed by a piece of tomato skin. Antibiotherapy and fibroscopic extraction of the skin ensured recovery. The authors recall the low incidence of polymicrobic septicemias, diagnostic criteria, promoting factors, poor prognosis, and the responsibility of digestive reflux and above all of stasis and high pressure in angiocholitis and septicemia following biliodigestive anastomosis.
报道了一例85岁男性患有血管胆管炎合并多种微生物败血症的病例,该患者有胆囊切除术和胆总管十二指肠吻合术病史。一块番茄皮阻塞了胆道。抗生素治疗和通过纤维镜取出皮肤确保了康复。作者回顾了多种微生物败血症的低发病率、诊断标准、促发因素、预后不良,以及消化反流的责任,尤其是胆汁消化吻合术后血管胆管炎和败血症中淤滞和高压的责任。