恶性梗阻性黄疸介入治疗后胆道感染的研究进展

Research progress of biliary tract infection after interventional treatment of malignant obstructive jaundice

  • 摘要: 恶性梗阻性黄疸多由胆胰恶性肿瘤引起, 主要表现为肝功能受损、胆汁淤积,治疗方法包括经内镜逆行性胰胆管造影术(ERCP)支架植入、经皮肝穿刺胆道引流(PTCD)、经内镜鼻胆管引流术(ENBD)等。胆道感染是恶性梗阻性黄疸介入治疗后的严重并发症之一,可致感染性休克,危及患者生命。本文总结胆道感染的危险因素、原因、近年来病原菌谱、耐药及抗生素选择等情况,对恶性梗阻性黄疸介入治疗后胆道感染的研究进展进行综述,以期减少胆道感染的发生。

     

    Abstract: Malignant obstructive jaundice is mostly caused by biliopancreatic malignant tumors, mainly manifested as hepatic dysfunction and cholestasis. Treatment methods includes endoscopic retrograde cholangiopancreatography (ERCP) stent implantation, percutaneous transhepatic cholangial drainage (PTCD), endoscopic nose biliary drainage(ENBD) and other interventional operations. Biliary tract infection is one of serious complications after interventional treatment of malignant obstructive jaundice, and can cause septic shock and threaten the life of the patients. By summarizing the risk factors, causes, pathogenic bacteria spectrum, drug resistance and antibiotic selection in recent years, this paper reviewed the research progress of biliary tract infection after interventional treatment of malignant obstructive jaundice in order to reduce the occurrence of biliary tract infection.

     

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