Nakamura H, Yasuhara K, Kimura K, Iwadare M
Chiba Social Insurance Hospital.
Nihon Rinsho. 1993 Jul;51(7):1846-50.
Non-operative methods to treat obstructive jaundice and cholangitis caused by cholelithiasis are endoscopic and percutaneous biliary drainage. Usually, endoscopic papillotomy and stone removal by basket catheter is available for treating choledocholithiasis. It is necessary to place a drainage catheter into the bile duct in patients who have severe cholangitis or remaining stones. On the other hand, percutaneous biliary drainage is useful in case of emergency and in patients reconstructed by the Billroth II method. Biliary drainage is necessary to treat severe cholangitis as soon as possible, for it sometimes causes endotoxin shock, disseminated intravascular coagulation (DIC) and multiple organ failure (MOF).
治疗胆结石引起的梗阻性黄疸和胆管炎的非手术方法是内镜和经皮胆道引流。通常，内镜乳头切开术和用网篮导管取石可用于治疗胆总管结石。对于患有严重胆管炎或残留结石的患者，有必要在胆管内放置引流导管。另一方面，经皮胆道引流在紧急情况下以及采用毕罗Ⅱ式法重建的患者中很有用。尽快治疗严重胆管炎很有必要，因为它有时会导致内毒素休克、弥散性血管内凝血（DIC）和多器官功能衰竭（MOF）。
