PTCD内外引流术后猝死原因的探讨及预防.pdfVIP

( ) 2006 6 24 2 9 1 PTCD 刘现立, 高万勤, 李云东 : PT CD , 4 PTCD , 2 32 , 3 ( 94%) , 116d , 2 PT CD , , , PTCD : ; ; : R 575 : A : 1672- 688X( 2006) 02- 0091- 03 Discussion on Unidentified Sudden Death after PTCD LIU Xiani, GAO Wanqin , LI Yundong ( Department of Genera Surgery, First Affi iated Hospita , Henan University of Science and Techno ogy, Luoyang 471003, China) Abstract: Obj ective To identify the causes of the sudden death after percutaneous transhepatic bi iary drainage( PTCD) and put forward the probab e preventive measures. Methods C inica data of death cases, inc uding 2 cases with sudden death after PTCD, were retrospective y summarized. Results 3 of 28 cases with PTCD died. One died of acute pancreatit is, the other two, unidentified. Conclusion The PTCD is not a simp e catheter p acement . Instead, there might exist many possib e physiopatho ogica abnorma ities re evant to postoperative sudden death . Perioperat ive management must be intensive y emphasized. Key words:obstructive jaundice; PTCD; sudden death ( PTCD) , , , , 15 d~ 2 , 21 d , PTCD 25 , - 30 , , 1. 2 PTCD 32 [ 1- 3] , ( DSA) PTCD 8F , , , X , 7~ 10 , 1 , PTC, 1. 1 1999~ 2004 , PTCD ; 32 , 10 , 22 , , , 46~ 86 , 57 : ; , 9 , 8 , 6 , , 7 ( 4 , 2 , 1 ) , ,