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中华介入放射学电子杂志 ›› 2022, Vol. 10 ›› Issue (03) : 306 -311. doi: 10.3877/cma.j.issn.2095-5782.2022.03.015

综述

梗阻性黄疸经皮肝穿刺胆道引流术后并发感染的多因素分析
娄琳滟1, 王黎洲1,†(), 周石1, 蒋天鹏1, 雷东酿1, 郑星1   
  1. 1. 550004　贵州贵阳，贵州医科大学附属医院介入科
  • 收稿日期:2021-08-03 出版日期:2022-08-25
  • 通信作者: 王黎洲
  • 基金资助:
    贵州省普通高等学校医学影像工程研究中心建设项目(黔教合KY字2016-012); 贵州医科大学医学影像工程研究中心建设项目(2016001)

Obstructive jaundice after PTCD with infection: analysis of multiple factors

Linyan Lou1, Lizhou Wang1,†(), Shi Zhou1, Tianpeng Jiang1, Dongniang Lei1, Xing Zheng1   

  1. 1. Department of Intervention Therapy, the Affiliated Hospital of Guizhou Medical University, Guizhou Guiyang 550004, China
  • Received:2021-08-03 Published:2022-08-25
  • Corresponding author: Lizhou Wang
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娄琳滟, 王黎洲, 周石, 蒋天鹏, 雷东酿, 郑星. 梗阻性黄疸经皮肝穿刺胆道引流术后并发感染的多因素分析[J]. 中华介入放射学电子杂志, 2022, 10(03): 306-311.

Linyan Lou, Lizhou Wang, Shi Zhou, Tianpeng Jiang, Dongniang Lei, Xing Zheng. Obstructive jaundice after PTCD with infection: analysis of multiple factors[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2022, 10(03): 306-311.

梗阻性黄疸是临床常见肝胆疾病，有相关症状的患者若未得到及时有效的治疗，大量淤积的胆汁除表现出皮肤巩膜黄染外，可快速地引起肝肾功能衰竭、凝血功能障碍甚至威胁患者生命。经皮肝穿刺胆道引流（PTCD）是临床常用解除胆道梗阻并引流胆汁的有效手段，但感染是PTCD术后常见并发症，可能会对患者的预后产生影响，严重情况下可造成患者围手术期死亡。文章就PTCD术后感染的影响因素进行综述，以期更好地防治术后感染，提高患者的生存率。

关键词: PTCD, 梗阻性黄疸, 感染, 抗生素, 预后

Obstructive jaundice is a common clinical hepatobiliary disease. If patients with related symptoms are not treated promptly and effectively, the massive accumulation of bile can rapidly cause liver and kidney failure, coagulation dysfunction, and even threaten patients' lives, in addition to manifesting yellow sclerae of the skin. Percutaneous transhepatic cholangial drainage (PTCD) is an effective means of relieving biliary obstruction and draining bile, but infection is a common complication after PTCD, which may affect the patient's prognosis and may cause perioperative death in severe cases. In this paper, we review the factors influencing postoperative infection in PTCD in pursuit of a better prevention and control of postoperative infection and improve the survival rate of patients.

Key words: PTCD, Obstructive jaundice, Infection, Antibiotics, Prognosis
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