Percutaneous transhepatic gallbladder drainage under color Doppler ultrasound in critically ill patients
- VernacularTitle:彩色多普勒超声引导下经皮经肝胆囊穿刺置管引流术在危重患者中的应用
- Author:
Qingxin MENG
;
Bin YANG
;
Yuanxin LI
- Publication Type:Journal Article
- Keywords:
Percutaneous transhepatic gallbladder drainage;
Color Doppler ultrasound;
Critical;
Acute cholecystitis
- From:
Journal of Medical Postgraduates
2003;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study percutaneous transhepatic gallbladder drainage(PTGD) under color Doppler ultrasound in critically ill patients with acute calculus cholecystitis.Methods:A paracentetic needl was stuck into the cholecyst after going straight through 1.5-2.5 cm hepar under color Doppler ultrasound.The operator took out the bullet core,put in a guide wire,extracted the needl,inserted a central venous catheter along the guide wire,and then drew out the bile and clusised the cholecyst with metronidazole until the extracted fluid was clear and bright.Results:PTGD immediately relieved the pain in the of upper right quadrant in all the patients.Body temperature and WBC descended obviously 24 hours and returned to normal 5 days after the operation. Conclusion:Color Doppler ultrasound guided PTGD,easy to perform and with few complications and high suness rate,is an returned effective and reliable procedure for critically ill patients who are intolerant of cholecystectomy or for whom the operation is difficult to perform.
