Patients with high -risk elderly cholecystitis, intervene

The Yangtze River Daily Da Wuhan Client August 9th (Cao Haiyan Yao Mengyun) accurate "thunder" under ultrasound guidance can provide a minimally invasive chemotherapy plan for the elderly and critical patients who cannot tolerate emergency surgery. On the morning of August 4th, Jinyin Lake Hospital of Xiehe Hospital Affiliated to Huazhong University of Science and Technology was jointly collaborated by ultrasonic medicine department and hepatobiliary surgery team to successfully complete the first -headed ultrasound guidance of the hospital under the hepatogenic and gallbladder pipe pipe drainage. (PTGBD).

Under the guidance and monitoring of real -time ultrasound, the medical team is an elderly patient with acute gallbladder pancreatitis with cholecystitis. The gallbladder drainage reduction decompression has greatly relieved the patient's pain and avoided the pony risk of gallbladder at any time. Imisturized, safe and reliable.

Grandma Liu, a 71 -year -old, came to the Xiehe Jinyin Lake Courtyard for treatment due to severe pain in the upper abdomen. The emergency CT examination prompted "acute pancreatitis with cholecystitis and gallbladder multiple stones." After admission, gastrointestinal decompression, anti -infection and other symptoms, the pain is still difficult to relieve, the jaundice is aggregated, and the blood conventional white blood cell counting and serum biphalin indicators continue to rise. After ultrasound examination, it was found that there were multiple stones in Grandma Liu's gallbladder, and some stones were stuck in the neck of the gallbladder, causing the bile excretion and significantly swollen gallbladder. There was the risk of gallbladder perforation at any time, and even life -threatening. At the same time, Grandma Liu's acute pancreatitis was not fully controlled. Many hematological indicators were abnormal, and there were basic diseases such as hypertension.

Considering the actual situation of the patient's age and complicated condition, Xie Xie Xie Xie Star, Professor Lu Qing, and hepatobilized surgery Wan Chidan, Hu Qinggang, and Cai Xiong's team of multi -disciplinary consultation and evaluation were decided to implement minimally invasive ultrasound guidance. Tube drainage of gallbladder puncture.

Preoperative ultrasound assessment found that there were multiple stones in Grandma Liu's gallbladder, and one of the large stones of about 3.5 cm in length increased the difficulty of surgery. This has made greater challenges to the surgeon. Dr. Yu Yan, the team leader of Xiehe Ultrasonic Medicine, finally found a small safety channel between the patient's liver and the gallbladder area. With the assistance of Dr. Gao Yang, the hepatobiliary surgery team, Yu Yan adjusted the puncture angle in real time under the guidance of the surgery, quickly and accurately placed the catheter in the preset position of the gallbladder, and immediately drained about 200 ml of pus. The entire puncture tube was only spent for more than 10 minutes. After the drainage of high -pressure purulent bile, Grandma Liu's abdominal pain symptoms were significantly relieved. A total of 700 ml of bile was drained 24 hours after surgery, and the nature of the bile has gradually changed from purulent bile to normal bile.

"Ultrasonic guidance (PTGBD) is one of the interventional minimally invasive technologies for lifting biliary obstruction. It is mainly suitable for patients with acute severe cholecystitis and purulent cholangitis. It can quickly establish bile drainage channels through gallbladder. The effect is immediate." Dr. Yu Yan said that his brother's technical ultrasonic guidance under the leather hepatobiliary duct (PTCD) is more widely used. Through the pesus and part of the liver tissue puncture the liver bile ducts to achieve the purpose of rapidly reducing biliary obstruction. Prices suitable for malignant bile tumors permanently reduced yellow, preoperative yellow reduction of liver malignant tumors, and pre -surgery before surgery.

According to Professor Lu Qing, director of the Ultrasound Medicine Division of Xiehe Jinshan Lake, the hospital has currently carried out a number of ultrasonic interventional diagnosis and treatment projects, so that patients in the East and West Lake District can enjoy the same homogeneous homogeneity as the home district at the "door of the house". Hua, "one -stop" diagnosis and treatment services.

[Edit: Yu Lina]

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