圣贤养生(原神灸网)

饮食养生:急性胆道感染的并发症

本病除具有一般胆道感染的charcot三联症(腹痛、寒战高热、黄疸)外,还可出现休克、神经中枢系统受抑表现,即reynolds五联征。

In addition to Charcot's triad (abdominal pain, chills, high fever, jaundice) with common biliary tract infection, the disease can also present with shock and depression of the central nervous system, i.e. the five syndrome of Reynolds.

绝大多数病人可出现较明显黄疸,但如仅为一侧肝胆管梗阻可不出现黄疸,行胆肠内引流术后的病人黄疸较轻。

The majority of patients can appear jaundice, but if only one side of the hepatobiliary duct obstruction can not appear jaundice, the jaundice of patients after biliary and intestinal drainage is lighter.

胆汁或胆囊壁细菌培养阳性者占50%~70%。

50% - 70% of the patients were positive for bacterial culture in bile or gallbladder wall.

3、胆道感染的治疗方法3.1、手术治疗3.2、手术时机的选择:急诊手术适用于:发病在48~72小时内者;经非手术治疗无效且病情恶化者;有胆囊穿孔、弥漫性腹膜炎、急性化脓性胆管炎、急性坏死性胰腺炎等并发症者。

3. Methods of treatment of biliary tract infection 3.1, surgical treatment 3.2, choice of operation time: emergency surgery is suitable for: onset within 48-72 hours; after non-surgical treatment invalid and deterioration of the condition; gallbladder perforation, diffuse peritonitis, acute suppurative cholangitis, acute necrotizing pancreatitis and other complications.

3.3、手术方法的选择手术方法有胆囊切除术和胆囊造口术。

3.3. The choice of operation methods: cholecystectomy and cholecystostomy.

如病人的全身情况和胆囊局部及周围组织的病理改变允许,应行胆囊切除术,以根除病变。

If the patient's general condition and pathological changes of local and surrounding tissues of gallbladder allow, cholecystectomy should be performed to eradicate the disease.

常出现胆绞痛,胆囊积脓,甚至坏死、穿孔、弥漫性胆汁性腹膜炎,休克而危及生命。

Often appear bile colic, gallbladder pyogenic, even necrosis, perforation, diffuse biliary peritonitis, shock and life-threatening.

2、阻塞性黄疸胆结石有时可自行或药物治疗作用下进入胆总管,继发胆总管结石症,一旦结石嵌顿,即可出现胆绞痛,畏寒、发热,全身黄染,化脓性感染休克。

2. Obstructive jaundice gallstones can sometimes enter the common bile duct by themselves or under the effect of drug treatment, and then secondary choledocholithiasis. Once the stones are incarcerated, they can have biliary colic, chills, fever, yellow staining of the whole body, septic shock.

而许多胆结石合并胰腺炎的病例常常在切除胆囊后便极少复发。

However, many cases of gallstone complicated with pancreatitis are seldom recurred after cholecystectomy.

4、胆心综合征胆结石导致胆囊病变通过内脏交感神经的兴奋,使心脏冠状动脉痉挛,以致冠状动脉血量减少,从而发生心绞痛,称之为“胆-心综合征”。

4. Choledochocardial syndrome (BDS) is characterized by gallstone, which leads to gallstone lesions through the stimulation of visceral sympathetic nerve, which causes coronary artery spasm, thus reducing the blood volume of coronary artery, resulting in angina pectoris.

蛋白质应适量,过多可刺激胆汁分泌,过少不利于组织修复。

Protein should be appropriate, too much can stimulate bile secretion, too little is not conducive to tissue repair.

饮食养生:急性胆道感染的并发症

本病除具有一般胆道感染的charcot三联症(腹痛、寒战高热、黄疸)外,还可出现休克、神经中枢系统受抑表现,即reynolds五联征。In addition to Charcot's triad (abdominal pai

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饮食养生:胆道梗阻怎么治疗

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