四大一支持”综合冲击疗法救治急性重症胆管炎32例
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史卫海, 戎亚雄, 岳茂兴
山莨菪碱;地塞米松;急性重症胆管炎;多器官功能障碍综合征;“四大一支持”综合疗法,史卫海,戎亚雄,岳茂兴,通讯作者:,Combinedimplosiontherapyof"FHDOS"forcriticalpatientswithacutecho
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史卫海, 戎亚雄, 江苏大学附属武进医院腹部外科中心 江苏省常州市 213000
岳茂兴, 中国人民解放军第306医院腹部外科中心 北京市 100101
通讯作者: 史卫海, 213000, 江苏省常州市永宁北路2号, 江苏大学附属武进医院腹部外科中心. ocean123789@sohu.com
电话: 0519-85336190-2081
收稿日期: 2007-09-06 修回日期: 2007-10-29
Combined implosion therapy of "FHDOS" for critical patients with acute cholangitis of severe type: an analysis of 32 cases
Wei-Hai Shi, Ya-Xiong Rong, Mao-Xing Yue
Wei-Hai Shi, Ya-Xiong Rong, Center of General Surgery, Affiliated Wujin Hospital of Jiangsu University, Changzhou 213000, Jiangsu Province, China
Mao-Xing Yue, Center of General Surgery, 306 Hospital of Chinese PLA, Beijing 100101, China
Correspondence to: Wei-Hai Shi, Center of General Surgery, Affiliated Wujin Hospital of Jiangsu University, 2 Yongning North Road, Changzhou 213000, Jiangsu Pro-vince, China. ocean123789@sohu.com
Received: 2007-09-06 Revised: 2007-10-29
Abstract
AIM: To summarize the experience with combined implosion therapy of FHDOS (four high dose and one support) for critical patients with acute cholangitis of severe type (ACST) severe accompanying by multiple organ dysfunction syndrome (MODS), and to evaluate its efficacy.
METHODS: All of the patients with ACST accompanying MODS in our study underwent operation. A routing method was performed in 34 cases (routing group). Thirty-two critical patients were treated with the new combined implosion therapy of FHDOS (combined group). "FHDOS" included: (1) a high dose of anisodamine in short-range, (2) a high dose of dexamethasone in short-range, (3) a high dose of efficacious antibiotics, (4) a high dose of solution to douche abdominal cavity, and (5) etabolic and nutritional support.
RESULTS: The mortality in the combined group (28.1%) was lower than that in the routing group (52.9%) (P < 0.05).
CONCLUSION: FHDOS therapy could significantly reduce perioperative mortality in critical patients with ACST accompanying MODS ......
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