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首页> 外文期刊>Seminars in Gastrointestinal Disease >Gallbladder and biliary tract disease in the intensive care unit.
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Gallbladder and biliary tract disease in the intensive care unit.

机译：重症监护病房的胆囊和胆道疾病。

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摘要

Intensive care unit patients present a difficult challenge in the diagnosis and treatment of complications related to the biliary tract. Altered mental status interferes with the patient's ability to communicate symptoms and give a reliable physical examination. Laboratory data are often nonspecific in diagnosing complications of biliary tract disease because of the high incidence of cholestasis in intensive care unit patients. Likewise, routine radiographic evaluation has a marked decreased sensitivity and specificity in evaluating biliary tract disorders. Taken together, these factors often lead to a delay in diagnosis of biliary tract problems in the intensive care unit patient. Intervention in these patients is associated with high morbidity and mortality when compared to the ambulatory setting. This article reviews the clinical presentation, differential diagnosis, and management options of biliary tract complications in this complex patient population.
机译：重症监护病房患者在诊断和治疗与胆道相关的并发症方面面临着艰巨的挑战。精神状态改变会干扰患者传达症状并进行可靠的身体检查的能力。由于重症监护病房患者胆汁淤积的发生率很高，实验室数据通常在诊断胆道疾病并发症方面没有特异性。同样，常规影像学评估在评估胆道疾病方面具有显着降低的敏感性和特异性。综上所述，这些因素常常导致重症监护病房患者胆道疾病的诊断延迟。与非卧床相比，对这些患者的干预与高发病率和高死亡率相关。本文回顾了这一复杂患者人群的胆道并发症的临床表现，鉴别诊断和管理选择。

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