Đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị sỏi ống mật chủ có biến chứng nội khoa bằng nội soi mật tụy ngược dòng cấp cứu tại Bệnh viện Đa khoa Trung ương Cần Thơ năm 2016-2017

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Tác giả: Hữu Nhân Kha, Thị Quỳnh Mai Nguyễn, Văn Lình Phạm

Ngôn ngữ: vie

Ký hiệu phân loại: 616.36 *Diseases of biliary tract and liver

Thông tin xuất bản: Y dược học Cần Thơ, 2018

Mô tả vật lý: 28-35

Bộ sưu tập: Metadata

ID: 490973

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Chủ đề

Đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị sỏi ống mật chủ có biến chứng nội khoa bằng nội soi mật tụy ngược dòng cấp cứu tại Bệnh viện Đa khoa Trung ương Cần Thơ năm 2016-2017. Kết quả cho thấy nội soi mật tụy ngược dòng cấp cứu là kỹ thuật ít xâm lấn, điều trị hiệu quả và an toàn cho bệnh nhân sỏi ống mật chủ có biến chứng.The cross-sectional descriptive study with intervention on 63 patients with complicated CBD stones was performed emergency ERCP at Cantho Central General Hospital from April 2016 to June, 2017. The mean age of patients was 67.3 ± 15.8 years, the most of them was females (65.0%) and elder than 60 years old (66.7%). The most com mon clinical symptoms are abdominal pain (100.0%), fever (95.2%) and jaundice (74.6%), the rate of hypotension was 20.6%. Laboratory data revealed leukocytosis (>
10.000/mm3 ) in 56 patients (88.8%), total hyperbilirubinemia in 62 patients (98.4%), direct hyperbilirubinemia in 63 patients (100.0%), increased serum amylase (≥ 330 UI/L) in 23 patients (36.5%), there were 55 patients with elevated procalcitonin levels ≥ 2 ng/mL (87.3%). Abdominal Ultrasound with high success rate in revealing stones in CBD stones was 89.0% of cases. There were 14 cases septic shock (22.2%), 23 cases acute biliary pancreatitis (36.5%), 48 cases acute cholangitis (76.2%). Successful cannulation of the common bile duct (CBD) was achieved 100.0%, the success rate of completely CBD stone removal was 84.1%, biliary stents were placed in 3 (4.8%) patients. No patients suffered from ERCP-related complications. 60 patients (95.2%) were treated succesfully.

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