引流管

These four fistulas closed uneventfully 1 to 3.4 months (mean 2.1) after PCN drainage.

这4例治疗成功的廔管，分别接受经皮穿肾引流术的时间从1至3.4个月(平均2.1个月)。

Some patients had suffered from obstructive jaundice, pancreatitis, bilirubinemia, alkaline phosphatase raise,γ-glutamyl transpeptidase raise and/or diameter of common bile duct exceeded 0.8 cm; and for these cases intraoperative cholangiography must be carried out. 405 cases needed T-tube insertion. The common bile duct of 105 cases was sutured without T tube. Results All cases were operated successfully.

术前确诊者，术中直接行胆总管切开胆道镜取石；术前有黄疸史、胰腺炎史和直接胆红素增高、胆系酶增高者，或胆总管在0.8 cm以上者行术中造影，明确有胆总管结石的切开胆总管胆道镜取石。405例置T管引流，105例行胆总管Ⅰ期缝合。

The case number of duodenopancreatectomy,cholecystojejunostomy, cholecystoduodenostomy, gastrojejunostomy, cholecystostomy, choledochoduodenostomy, choledochjejunalostomy, exploration of the common bile duct, and T tube drain were 43, 20, 3, 19, 4, 4, 21, 18, 7 respectively.

行胰十二指肠切除术43例，胆囊空肠吻合术20例，胆囊十二指肠吻合术3例，胃空肠吻合术19例，胆囊造瘘术4例，胆总管十二指肠吻合术4例，胆总管空肠吻合术21例，胆总管探查、T管引流18例，剖腹探查术7例。

Results Among 89 cases,68 cases underwent cholecystectomy(6 cases bile duct drainage),and 14 cases subtotal cholecystectomy,cholecystostomy in 7 cases;death occurred in one case.

结果 89例中行胆囊切除术68例(胆总管T管引流术6例)，胆囊大部切除术14例，胆囊造瘘术7例。治愈88例，死亡1例。

Percutaneous cholecystostomy is a safe and effective treatment adaptable for critically ill patients with acute cholecystitis.

经皮经肝胆囊穿刺置管引流术是治疗急性重症胆囊炎安全有效的方法。

Mehtods 97 critically ill patients with acute cholecystitis underwent emergency percutaneous cholecystostomy under guidance of US and DSA.

97例急性重症胆囊炎患者接受超声及DSA结合导引下的经皮胆囊造口术，并于术中置管引流。

We performed cholecystectomy in 10 cases, cholecystectomy and choledochotomy for common bile duct exploration and stone removal and T-tube drainage in 2, partial cholecystectomy in 3, cholecystostomy in 1. Pathological examination showed that it was AGC in all the patients.

该组行胆囊切除术10例，胆囊切除+胆总管切开取石+T管引流术2例，胆囊大部切除术3例，胆囊造瘘术1例，术后病理报告均为急性坏疽性胆囊炎。

Results All patients underwent percutaneous cholecystostomy with technical success without major periprocedural complications. 93 (96%) patients responded well clinically showing disappearance of right upper abdomen pain and fevers within 72hr. 4 patients complicated with common bile duct stones were underwent PTCD one day after the procedure because of no response clinically. After PTCD, all 4 patients attained clinical symptom relief within 72hr.

结果 所有97例患者均一次置管成功，无任何并发症。93例(96%)患者临床体征如右上腹疼痛、发热在72h内缓解；同时，血常规中的WBC及中性粒细胞均于72h内降至正常范围。4例患者由于肝总管内结石合并胆管炎临床症状缓解不明显而于第2天行经皮肝穿胆管引流术，术后临床症状于72h内亦缓解。

Methods:20 cases with choledocholithiasis treated with laparoscopy and choledochofibersope were reviewed and analysed.

回顾20例胆总管结石患者在腹腔镜下行胆总管切开、纤维胆道镜取石、T管引流术。

Abstract］ Objective: To evaluate the clinical efficacy of laparoscopic choledocholithotomy with T-tube drainage acute cholangitis of severe type.

摘要］ 目的：探讨腹腔镜胆总管切开取石T管引流术治疗重症急性胆囊炎的临床疗效。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。