aosc

The clinical analysis of acute obstructive suppurative cholangitis ( AOSC ) in aged patients

老年急性梗阻性化脓性胆管炎诊治的临床分析

Objective To investigate the effects and value of ENBD on the therapy of aged patients with AOSC .

目的探讨经内镜鼻胆管引流（ENBD）在治疗老年急性梗阻化脓性胆管炎（AOSC）中的作用和价值。

Methods Sera IL-10 in 46 patients of AOSC and 20 healthy people were detected by ELISA Test .

方法46例AOSC和20例健康人血清IL-10的测定采用双抗体夹心ELISA检测法。

Objective To study the clinical nursing methods of pregnancy patients with acute obstructive suppurative cholagitis ( AOSC ) .

目的探讨妊娠合并急性梗阻性化脓性胆管炎患者的护理方法。

Objective To observe changes of the mRNA expression of IL-1 β, TNF α in the lung tissue in the AOSC ARDS model .

目的观察急性梗阻性化脓性胆管炎大鼠ARDS时肺组织内TNFα、IL1β的mRNA变化。

Method Seventy-six cases with AOSC were collected in recent 9 years , their clinical feature , diagnosis , treatment and outcome were analysed retrospectively .

方法：回顾性分析本院近9年收治的76例老年AOSC，对其临床特点、诊断、治疗与转归作一总结。

Methods : Retrospectively , we analyzed the main clinical characteristic and therapeutic modalities of 30 cases with AOSC in our ICU in recent 4 years .

方法：对本院ICU近四年来收治30例AOSC的主要临床特征及诊治要点进行回顾分析。

Objective : To evaluate the crisis extent of patients with acute obstructive suppurative cholangitis ( AOSC ) near admitted for clinical treatment and outcome .

目的：对新入院急性梗阻性化脓性胆管炎（AOSC）患者作危险性评估以利于临床治疗和预后。

It suggests that coagulation disturbance ( DIC ) was present in the patients with AOSC complicated by shock and could return to normal during recovery .

上述结果提示AOSC伴有休克的病人多有凝血障碍（DIC），随着病情好转，上述结果可恢复正常。

[ Conclusion ] Treatment of AOSC with combinate of PTCD and laparoscopy was a safe , effective , rapid recovery and minimally invasive method .

结论PTCD联合腹腔镜治疗AOSC具有安全有效、创伤小和愈合快等优点，是微创治疗的有效方法之一。

Objective : To study the efficacy of emergent endoscopic management for acute obstructive suppurative cholangitis ( AOSC ) due to common bile duct ( CBD ) stones .

目的：探讨胆总管结石继发急性梗阻性化脓性胆管炎的急诊内镜治疗方法。

Conclusions : PTCD can effectively lower the pressure of biliary tract , remit the danger of cases and reduce dead rate of AOSC , which provided possibility for further treatment .

结论PTCD可有效降低胆管压力，缓解病情，降低AOSC的死亡率，为进一步的病因治疗创造条件。

The mirror involvement which holds the abdomen surgery compared with the emergency medical treatment in to treat the stone nature acute obstruction suppurative cholangitis ( AOSC ) curative effect .

目的比较急诊内镜介入与开腹手术治疗结石性急性梗阻化脓性胆管炎（AOSC）疗效。

[ Objective ] To evaluate the efficacy of combination of percutaneous transhepatic cholangiography drainage ( PTCD ), and laparoscopy on the treatment of acute obstructive suppurative cholangitis ( AOSC ) .

目的探讨经皮肝穿刺胆管引流（PTCD）联合腹腔镜治疗急性梗阻性化脓性胆管炎（AOSC）的疗效。

Patients with acute obstructive suppurative cholangitis ( AOSC ) and bile-original acute pancreatitis ( BOAP ), who had severe complications and whose life signs were not stable , were given ENBD .

急性梗阻化脓性胆管炎（AOSC）和胆源性胰腺炎（BOAP）的病人，生命体征不稳定有严重并发症的行ENBD。

Acute cholangitis was more often in un-drainage group than drainage group ( 2 % vs 0.5 % , P < 0.05 ) . Also 40 % of patients in un-drainage group were AOSC that needed surgical intervention .

急性胆管炎的发生率分别为0.5%和2%（P<0.05），而且非引流组中40%出现AOSC，需手术治疗。

Results Among 140 cases , there were 78 cases ( 55 7 % ) of septic shock mostly caused by acute obstructive suppurative cholangitis ( AOSC ) and 62 cases ( 44 3 % ) of hemorrhagic shock mostly caused by severe injury of liver and / or spleen .

结果140例病人中感染性休克占557%（78/140），原发病多为急性梗阻性化脓性胆管炎（AOSC）；出血性休克占443%（62/140），多为外伤性肝脾破裂出血。

Objective : To evaluate feasibility and therapeutic effect of endoscopic nasobiliary drainage ( ENBD ) under B supersonic guidance , with the aid of saline flush followed by high-concentration antibiotic instillation of the biliary tract for the treatment of acute obstructive suppurative cholangitis ( AOSC ) .

目的：探讨B超监视下经内镜鼻胆管引流术（ENBD），用生理盐水冲洗胆道+局部灌注高浓度抗生素，治疗急性梗阻性化脓性胆管炎的疗效及安全性。