ACST

Methods: Retrospective analysis was made on the treatment and prognosis of 132 patients with ACST.

方法: 回顾性分析132例ACST患者的治疗及预后情况.

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The rat models with ACST and choledochostomy are made.

方法制造胆道急性感染模型和胆管减压内引流模型。

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At the present ACST, the main therapy is operation, which is combined with antibiotics.

目前主要是以手术为主, 配合抗生素治疗.

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Objective To explore the character and treatment of acute severe cholangitis ( ACST ) in senile patients.

目的探讨老年急性重症胆管炎 ( ACST ) 的特点及手术时机.

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Conclusion Integrated traditional Chinese and Western medicine treatment has obvious therapeutic effect on the shock caused by ACST and can debase the fatality rate after operation of grave acute cholangitis patients.

结论中西医结合治疗胆源性休克有明显疗效，能降低重症急性胆管炎患者术后病死率。

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Conclusion Operation should be performed before toxic shock or mental symptom occurred in the patients with ACST. The earlier the operation was performed, and the better the prognosis was.

结论ACST病人应在出现休克或精神症状之前采用手术治疗，越早手术效果越好；

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The early use of massive dose of dexamethasone is very important for the patients with ACST.

应早期大剂量应用地塞米松治疗ACST。

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Objective To investigate the operation occasion ACST in old men.

目的探讨老年人急性重症胆管炎(ACST) 的手术时机.

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Methods A retrospective review was made on 15 cases of hepatolithiasis treated by Oddi sphincteroplasty in this hospital. The incidence rates of cholangitis and acute cholangitis severe type ( ACST) before and after the surgery were compared.

方法回顾性分析我院肝内胆管结石行Oddi括约肌成形术的15例长期随访资料，比较手术前后胆管炎和重症胆管炎发生率差异。

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