• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文OA文献 >Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis
【2h】

Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis

机译：《东京指南2018》：急性胆道感染的初步治疗和急性胆管炎流程图

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The initial management of patients with suspected acute biliary infection starts with the measurement of vital signs to assess whether or not the situation is urgent. If the case is judged to be urgent, initial medical treatment should be started immediately including respiratory/circulatory management if required, without waiting for the definitive diagnosis. The patient's medical history is then taken; an abdominal examination is performed; blood tests, urinalysis, and diagnostic imaging are carried out; and a diagnosis is made using the diagnostic criteria for cholangitis/cholecystitis. Once the diagnosis has been confirmed, initial medical treatment should be started immediately, severity should be assessed according to the severity grading criteria for acute cholangitis/cholecystitis, and the patient's general status should be evaluated. For mild acute cholangitis, in most cases initial treatment including antibiotics is sufficient, and most patients do not require biliary drainage. However, biliary drainage should be considered if a patient does not respond to initial treatment. For moderate acute cholangitis, early endoscopic or percutaneous transhepatic biliary drainage is indicated. If the underlying etiology requires treatment, this should be provided after the patient's general condition has improved; endoscopic sphincterotomy (EST) and subsequent choledocholithotomy may be performed together with biliary drainage. For severe acute cholangitis, appropriate respiratory/circulatory management is required. Biliary drainage should be performed as soon as possible after the patient's general condition has been improved by initial treatment and respiratory/circulatory management. This article is protected by copyright. All rights reserved
机译：怀疑患有急性胆道感染的患者的初始治疗始于对生命体征的测量，以评估情况是否紧急。如果判断为紧急情况，应立即开始初步治疗，包括呼吸/循环管理（如果需要），而无需等待明确的诊断。然后记录患者的病史。进行腹部检查；进行血液检查，尿液分析和诊断成像；然后使用胆管炎/胆囊炎的诊断标准进行诊断。一旦确定了诊断，应立即开始初始药物治疗，应根据急性胆管炎/胆囊炎的严重程度分级标准评估严重程度，并应评估患者的总体状况。对于轻度急性胆管炎，在大多数情况下，包括抗生素在内的初始治疗就足够了，并且大多数患者不需要胆道引流。但是，如果患者对初始治疗无反应，则应考虑胆汁引流。对于中度急性胆管炎，建议早期内镜或经皮经肝胆道引流。如果潜在的病因需要治疗，应在患者的总体状况得到改善后提供治疗；内镜括约肌切开术（EST）和随后的胆总管切开术可与胆汁引流一起进行。对于严重的急性胆管炎，需要适当的呼吸/循环管理。通过初步治疗和呼吸/循环管理改善患者的总体状况后，应尽快进行胆道引流。本文受版权保护。版权所有

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号