摘要
复发性化脓性胆管炎是一种危重的疾病,起病急骤,病情进展迅速,可导致寒战、高热、腹痛、休克等症状,病情复杂多变,给患者生命健康带来极大的威胁。近年来随着影像学的发展,复发性化脓性胆管炎的确诊率及治疗成功率也逐渐提高。但由于复发性化脓性胆管炎初期疾病表现有时不典型,且容易与其他疾病重叠,导致病情加重,甚至危及患者生命。因此如何在短时间内确诊并给予及早干预改善患者预后,对临床医生仍是很大的挑战。本文通过报道潍坊医学院附属医院1例初诊为慢性阻塞性肺疾病急性发作的患者,入院后根据患者病情变化及辅助检查结果确诊为急性梗阻性化脓性胆管炎,经内镜逆行胰胆管造影取石及抗感染治疗病情好转后再次复发后救治成功的案例,为临床医师诊治复发性化脓性胆管炎提供治疗思路。
Recurrent pyogenic cholangitis is a serious disease with sudden onset and rapid progression,which can lead to chills,high fever,abdominal pain,shock and other symptoms.The condition is complex and changeable,which brings great threat to the life and health of patients.In recent years,with the development of imaging,the diagnosis rate and treatment success rate of recurrent pyogenic cholangitis have gradually increased.However,due to the initial disease manifestations of recurrent pyogenic cholangitis are sometimes atypical,and easy to overlap with other diseases,leading to aggravation of the disease and even life-threatening patients.Therefore,how to diagnose the disease in a short time and give early intervention to improve the prognosis of patients is still a great challenge for clinicians.A case of acute exacerbation of chronic obstructive pulmonary disease was reported in the Affiliated Hospital of Weifang Medical College,after admission to hospital,after admission to the hospital,the patient was diagnosed as acute obstructive suppurative cholangitis according to the changes of his condition and the results of auxiliary examination,the successful cases of endoscopic retrograde cholangiopanchography and anti-infective treatment for recurrence after improvement of the condition provide treatment ideas for clinicians to diagnose and treat recurrent suppurative cholangitis.
作者
范学娟
王恩允
FAN Xuejuan;WANG Enyun(Department of Emergency,Affiliated Hospital of Weifang Medical College,Shandong Province,Weifang261000,China)
出处
《中国当代医药》
CAS
2024年第18期151-154,共4页
China Modern Medicine
关键词
复发性化脓性胆管炎
慢性阻塞性肺疾病
内镜逆行胰胆管造影取石
诊疗思路
Recurrent pyogenic cholangitis
Chronic obstructive pulmonary disease
Endoscopic retrograde cholangiopancreatography lithotomy
Diagnosis and treatment ideas
