重症胆管炎的诊断与治疗

R657.45; 重症胆管炎又称急性梗阻性化脓性胆管炎,起病急,病情发展迅速,是良性胆道疾病的首要死亡因素(尤其在高龄患者中),常伴有多系统器官功能衰竭的情况.其症状及体征多样化,诊断分级及预后标准常不一致.随着外科微创及内镜技术发展,重症胆管炎的诊治效果得到不断改善.如何根据预后因素评判、选择最佳手术时机,个体化选择胆道引流方式,全面、规范、及时抗感染治疗,在重症胆管炎的治疗中具有非常重要的意义....

Full description

Saved in:
Bibliographic Details
Published inLinchuang gandanbing zazhi Vol. 35; no. 12; pp. 2622 - 2626
Main Authors 王荣峰, 吕毅, 张晓刚
Format Journal Article
LanguageChinese
Published Changchun Journal of Clinical Hepatology 01.12.2019
西安交通大学第一附属医院肝胆外科,西安,710061
Subjects
抗菌药
胆管炎
引流术
诊断
治疗学
Online AccessGet full text
ISSN1001-5256
2097-3497
DOI10.3969/j.issn.1001-5256.2019.12.002

Cover

Abstract R657.45; 重症胆管炎又称急性梗阻性化脓性胆管炎,起病急,病情发展迅速,是良性胆道疾病的首要死亡因素(尤其在高龄患者中),常伴有多系统器官功能衰竭的情况.其症状及体征多样化,诊断分级及预后标准常不一致.随着外科微创及内镜技术发展,重症胆管炎的诊治效果得到不断改善.如何根据预后因素评判、选择最佳手术时机,个体化选择胆道引流方式,全面、规范、及时抗感染治疗,在重症胆管炎的治疗中具有非常重要的意义.
AbstractList R657.45; 重症胆管炎又称急性梗阻性化脓性胆管炎,起病急,病情发展迅速,是良性胆道疾病的首要死亡因素(尤其在高龄患者中),常伴有多系统器官功能衰竭的情况.其症状及体征多样化,诊断分级及预后标准常不一致.随着外科微创及内镜技术发展,重症胆管炎的诊治效果得到不断改善.如何根据预后因素评判、选择最佳手术时机,个体化选择胆道引流方式,全面、规范、及时抗感染治疗,在重症胆管炎的治疗中具有非常重要的意义.
重症胆管炎又称急性梗阻性化脓性胆管炎,起病急,病情发展迅速,是良性胆道疾病的首要死亡因素(尤其在高龄患者中),常伴有多系统器官功能衰竭的情况。其症状及体征多样化,诊断分级及预后标准常不一致。随着外科微创及内镜技术发展,重症胆管炎的诊治效果得到不断改善。如何根据预后因素评判、选择最佳手术时机,个体化选择胆道引流方式,全面、规范、及时抗感染治疗,在重症胆管炎的治疗中具有非常重要的意义。
Author 张晓刚
王荣峰
吕毅
AuthorAffiliation 西安交通大学第一附属医院肝胆外科,西安,710061
AuthorAffiliation_xml – name: 西安交通大学第一附属医院肝胆外科,西安,710061
Author_FL LYU Yi
ZHANG Xiaogang
WANG Rongfeng
Author_FL_xml – sequence: 1
  fullname: WANG Rongfeng
– sequence: 2
  fullname: LYU Yi
– sequence: 3
  fullname: ZHANG Xiaogang
Author_xml – sequence: 1
  fullname: 王荣峰
– sequence: 2
  fullname: 吕毅
– sequence: 3
  fullname: 张晓刚
BookMark eNpFj81Kw0AUhQepYKx9CNGFm8R77_xlllL8g4IbXZdMkyktJamNRehSxULBLltw5wOo4ErwdaSpb2Gkoquz-TjnfJuskmZpwtguQsCNMvvdoJPnaYAA6EuSKiBAEyAFALTGPAKjfS6MrjDvj9lgtTzvWJDIlRFSeWz7a_xQzMfL2_vi5am4mRaPd8vXyWL2_Pk-Xbx9FLP5Flt3US9Par9ZZRdHh-f1E79xdnxaP2j4feRIvjOAzkYOMVHASRtNibSgLQehQxG2tCRnrZUtgaGNiQyBiI2DRJZXleBVtrfqvY5SF6XtZjcbDtJysdlrtWM7Gv34IZV2JbqzQvuD7HKY5Ff_LCcBZTWGhn8DReBcmQ
ClassificationCodes R657.45
ContentType Journal Article
Copyright 2019. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
Copyright © Wanfang Data Co. Ltd. All Rights Reserved.
Copyright_xml – notice: 2019. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
– notice: Copyright © Wanfang Data Co. Ltd. All Rights Reserved.
DBID 3V.
7X7
7XB
88E
8FI
8FJ
8FK
ABUWG
AFKRA
AZQEC
BENPR
CCPQU
DWQXO
FYUFA
GHDGH
K9.
M0S
M1P
PHGZM
PHGZT
PIMPY
PJZUB
PKEHL
PPXIY
PQEST
PQQKQ
PQUKI
2B.
4A8
92I
93N
PSX
TCJ
DOI 10.3969/j.issn.1001-5256.2019.12.002
DatabaseName ProQuest Central (Corporate)
Health & Medical Collection
ProQuest Central (purchase pre-March 2016)
Medical Database (Alumni Edition)
ProQuest Hospital Collection
Hospital Premium Collection (Alumni Edition)
ProQuest Central (Alumni) (purchase pre-March 2016)
ProQuest Central (Alumni)
ProQuest Central UK/Ireland
ProQuest Central Essentials
ProQuest Central
ProQuest One Community College
ProQuest Central Korea
Health Research Premium Collection
Health Research Premium Collection (Alumni)
ProQuest Health & Medical Complete (Alumni)
Health & Medical Collection (Alumni Edition)
Medical Database
ProQuest Central Premium
ProQuest One Academic
Publicly Available Content Database
ProQuest Health & Medical Research Collection
ProQuest One Academic Middle East (New)
ProQuest One Health & Nursing
ProQuest One Academic Eastern Edition (DO NOT USE)
ProQuest One Academic
ProQuest One Academic UKI Edition
Wanfang Data Journals - Hong Kong
WANFANG Data Centre
Wanfang Data Journals
万方数据期刊 - 香港版
China Online Journals (COJ)
China Online Journals (COJ)
DatabaseTitle Publicly Available Content Database
ProQuest One Academic Middle East (New)
ProQuest Central Essentials
ProQuest Health & Medical Complete (Alumni)
ProQuest Central (Alumni Edition)
ProQuest One Community College
ProQuest One Health & Nursing
ProQuest Central
ProQuest Health & Medical Research Collection
Health Research Premium Collection
Health and Medicine Complete (Alumni Edition)
ProQuest Central Korea
Health & Medical Research Collection
ProQuest Central (New)
ProQuest Medical Library (Alumni)
ProQuest One Academic Eastern Edition
ProQuest Hospital Collection
Health Research Premium Collection (Alumni)
ProQuest Hospital Collection (Alumni)
ProQuest Health & Medical Complete
ProQuest Medical Library
ProQuest One Academic UKI Edition
ProQuest One Academic
ProQuest One Academic (New)
ProQuest Central (Alumni)
DatabaseTitleList
Publicly Available Content Database
Database_xml – sequence: 1
  dbid: BENPR
  name: ProQuest Central
  url: http://www.proquest.com/pqcentral?accountid=15518
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
DocumentTitle_FL Advances in the diagnosis and treatment of severe acute cholangitis
EISSN 2097-3497
EndPage 2626
ExternalDocumentID lcgdbzz201912002
GroupedDBID -05
3V.
5XA
5XF
7X7
7XB
88E
8FI
8FJ
8FK
92F
92I
ABDBF
ABJNI
ABUWG
ACGFS
ACUHS
AFKRA
ALMA_UNASSIGNED_HOLDINGS
AZQEC
BENPR
CCEZO
CCPQU
CIEJG
CW9
DWQXO
EAD
EAP
EOJEC
ESX
FYUFA
K9.
M1P
OBODZ
OK1
PHGZM
PHGZT
PIMPY
PJZUB
PKEHL
PPXIY
PQEST
PQQKQ
PQUKI
RNS
TCJ
TGQ
U1G
U5O
2B.
4A8
93N
IPNFZ
PSX
RIG
ID FETCH-LOGICAL-p1312-f901fbaf11e60327972e5b07b3047848c752fbbb5c418bd229204d9f0e5209643
IEDL.DBID BENPR
ISSN 1001-5256
IngestDate Thu May 29 04:06:09 EDT 2025
Tue Oct 07 07:20:54 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 12
Keywords 抗菌药
胆管炎
引流术
诊断
治疗学
Language Chinese
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-p1312-f901fbaf11e60327972e5b07b3047848c752fbbb5c418bd229204d9f0e5209643
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
OpenAccessLink https://www.proquest.com/docview/3240292189?pq-origsite=%requestingapplication%&accountid=15518
PQID 3240292189
PQPubID 7350069
PageCount 5
ParticipantIDs wanfang_journals_lcgdbzz201912002
proquest_journals_3240292189
PublicationCentury 2000
PublicationDate 2019-12-01
PublicationDateYYYYMMDD 2019-12-01
PublicationDate_xml – month: 12
  year: 2019
  text: 2019-12-01
  day: 01
PublicationDecade 2010
PublicationPlace Changchun
PublicationPlace_xml – name: Changchun
PublicationTitle Linchuang gandanbing zazhi
PublicationTitle_FL Journal of Clinical Hepatology
PublicationYear 2019
Publisher Journal of Clinical Hepatology
西安交通大学第一附属医院肝胆外科,西安,710061
Publisher_xml – name: Journal of Clinical Hepatology
– name: 西安交通大学第一附属医院肝胆外科,西安,710061
SSID ssib051369456
ssib061082477
ssj0041983
ssib001103858
ssib053243598
ssib002264326
ssib038074677
Score 2.2144728
Snippet 重症胆管炎又称急性梗阻性化脓性胆管炎,起病急,病情发展迅速,是良性胆道疾病的首要死亡因素(尤其在高龄患者中),常伴有多系统器官功能衰竭的情况。其症状及体征多样化,诊断...
R657.45; 重症胆管炎又称急性梗阻性化脓性胆管炎,起病急,病情发展迅速,是良性胆道疾病的首要死亡因素(尤其在高龄患者中),常伴有多系统器官功能衰竭的情况.其症状及体征多...
SourceID wanfang
proquest
SourceType Aggregation Database
StartPage 2622
Title 重症胆管炎的诊断与治疗
URI https://www.proquest.com/docview/3240292189
https://d.wanfangdata.com.cn/periodical/lcgdbzz201912002
Volume 35
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVEBS
  databaseName: EBSCOhost Academic Search Ultimate
  customDbUrl: https://search.ebscohost.com/login.aspx?authtype=ip,shib&custid=s3936755&profile=ehost&defaultdb=asn
  eissn: 2097-3497
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssj0041983
  issn: 1001-5256
  databaseCode: ABDBF
  dateStart: 20130401
  isFulltext: true
  titleUrlDefault: https://search.ebscohost.com/direct.asp?db=asn
  providerName: EBSCOhost
– providerCode: PRVHPJ
  databaseName: ROAD: Directory of Open Access Scholarly Resources
  customDbUrl:
  eissn: 2097-3497
  dateEnd: 99991231
  omitProxy: true
  ssIdentifier: ssib053243598
  issn: 1001-5256
  databaseCode: M~E
  dateStart: 19850101
  isFulltext: true
  titleUrlDefault: https://road.issn.org
  providerName: ISSN International Centre
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1LS8NAEB5qi-JFfOKzVPAazW42jz2IWLWIYBFR6E1281BEWh8VoUcVC4I9VvDmD1DBk-DfEaP_wp00MfXiJRBmCdnX7Dc7M98AzBGGtFiBqxmukBrDNBkpTfUgnmO7vk5lxN25WbbWd9lGxaxkoJzkwmBYZaITI0Xt1Vy8I19A4jjK1YHEl45PNKwahd7VpISGiEsreIsRxVgP5CgyY2UhV1wrb22nAIHof9hbMI20C8Ag-zrrIngziWFxlrLNmOovkPIueVfYw6FRJmdH9zNlwndC-pWRbio00adGQ9nF3OILh9Gunv8VYVgZj64ioyudFN72XohqIKr7XedcaRAGYoBaWO6sqCHINA6GoW8zdsGPwOx38y68b35d3YTPj-FlK3y4_nq5_Ww_fby1Pl_fw_b9KOyW1nZW1rW4zoJ2TAxCtUBhgkCKgBDf0g1qc5v6ptRtiS45hzmubdJAqil0GXGkR7HAFfN4oPsYQ6MGcAyy1VrVH4eCNATzlVxYQqlgaQk78HwLOcgU0vG4MQHTSUf34s1ytpdO7QTMxp1PpUfuvicbDRwtghElk_9_Ygr6sWkn4mQasvXTc39G4Ya6zEOPXbHzkFsurhZL-Xhp_AAKib_D
linkProvider ProQuest
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwY2BQMTQBHYuVlqxrnJyYpGsC2iaTlGQKJAxTLMyTUw2MksBnd_r6mXmEmnhFmEYwMeyD7YUBLauElYnggjolPxk0Rq4POjjOyBJYIVnaFxTqgm6NAs2uwq7QSIRerZBiCz5iDLqxwzu1shzYhSu29XQBxreqkZGba4izhy70lgHdAkNjQyPdNGCNmJaUmGZomGpmYGxkbmlulGqaZGCeBJqQsjCxSDY3NUpLAnog2cTQIinFCHS9k0mKZZpBKmgFCbBCB5rLzMBqYmxiCez8sTq5-gUEIRokhgYop8WAtq0iNZhAp72bIB0oZ2pobGZpgjjdxhToa9ARezA-sK1jYQTeOQqpa0wMLS0gWwgMDIFdSlMzDmDoA_vhlmaW-lngUkQPLgVaxmYJHvoEDyEhmtPs5Yl5aYl56Uj1qpsgAz-0QazgCEnBQgxMVRnCDBy-0Cl_EQbFl-29z6e3v2hue75u4fOmvuezWl6s73o2be2THX3PNu1-Pm26KEMoTUJcjIElLz8vVYJBIck40SQVKJ9olggs8pPMEs3TUlLNQGeeAVtWKZbGkgwyMI_GQzNncTwiKUkyKEI9j5DNSU5PSaqqAoWWIWgFixR-I-QZOD1CfH3ifTz9vKUZuEDaIKtdZBhYSopKU2WBbZaSJDlowlBgSKB1WgQA1g_4Ig
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E9%87%8D%E7%97%87%E8%83%86%E7%AE%A1%E7%82%8E%E7%9A%84%E8%AF%8A%E6%96%AD%E4%B8%8E%E6%B2%BB%E7%96%97&rft.jtitle=Linchuang+gandanbing+zazhi&rft.au=%E7%8E%8B%E8%8D%A3%E5%B3%B0&rft.au=%E5%90%95%E6%AF%85&rft.au=%E5%BC%A0%E6%99%93%E5%88%9A&rft.date=2019-12-01&rft.pub=Journal+of+Clinical+Hepatology&rft.issn=1001-5256&rft.eissn=2097-3497&rft.volume=35&rft.issue=12&rft.spage=2622&rft_id=info:doi/10.3969%2Fj.issn.1001-5256.2019.12.002
thumbnail_s http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=http%3A%2F%2Fwww.wanfangdata.com.cn%2Fimages%2FPeriodicalImages%2Flcgdbzz%2Flcgdbzz.jpg