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目的 观察内镜鼻胆管引流 (ENBD)对急性梗阻性化脓性胆管炎 (AOSC)的疗效。方法 采用国产鼻胆管对 5 1例AOSC患者行ENBD ,其中 32例在非X线监视下进行。结果 置管成功率 1 0 0 % ,术后胆汁引流量 >40 0ml/d ,引流有效率 96 %。结论 急诊床边ENBD是治疗AOSC的一种简便有效的方法 ,能迅速改善临床症状 ,为内镜治疗或外科手术创造条件。
Objective To observe the effect of endoscopic nasobiliary drainage (ENBD) on acute obstructive suppurative cholangitis (AOSC). Methods Fifty-one patients with AOSC were enrolled in this study. ENBD was performed in 32 patients with non-X-ray surveillance. Results The success rate of catheterization was 100%. The postoperative drainage volume of bile duct was> 40 0ml / d and drainage efficiency was 96%. Conclusion Emergency bedside ENBD is a simple and effective method for the treatment of AOSC. It can rapidly improve clinical symptoms and create conditions for endoscopic treatment or surgical operation.