文档介绍:® 世界华人消化杂志 2009年9月18日; 17(26): 2748-2751
wcjd@ ISSN 1009- 14-1260/R
临床经验 CLINICAL PRACTICE
山莨菪碱和加贝酯对胆总管结石术后胆道动力的影响
周迈, 郭晏同, 常迎彬, 钟朝辉
■背景资料周迈, 常迎彬, 民航总医院普外科北京市 100123 kPa, ± kPa vs ± kPa, and
郭晏同, 北京大学第四临床医学院北京积水潭医院普外科
随着胆道外科手± kPa vs ± kPa, respectively; all P <
术增加, 胆道术北京市 100035
后并发症亦逐渐钟朝辉, 北京大学人民医院普外科北京市 100044 ). Plasma endotoxin levels in patients in the
通讯作者: 钟朝辉, 副主任医师, 100044, 北京市, 北京大学人民
增多, 有研究报 two treatment groups were lower than those in
医院普外科. ******@vip.
道胆囊切除术后电话: 010-66583666 the control group on days 3 and 4 after opera-
有 5 % - 4 0 % 的患收稿日期: 2009-06-29 修回日期: 2009-08-25 tion (all P < ). On day 3, the rates of duode-
者术后出现腹部
接受日期: 2009-08-31 在线出版日期: 2009-09-18 nal appearance over 30 min in the two treatment
疼痛、腹胀或其
他症状等, 一般 groups were significant higher than that in the
将此症状称为胆 control group (P = and , respectively).
囊切除术后综合 Effects of anisodamine and However, no significant differences were noted
征(PCS). PCS中
gabexate mesilate on biliary in the time to peak activity (Tmax) and the half-
约11%-40%的患
time of excretion (T ) of the liver mon
者无器质性病变, dynamics in patients after 1/2
称为胆囊切除术 biliary operation bile duct among the three groups.
后胆道动力障碍
(PCBD). 近年来, Mai Zhou, Yan-Tong Guo, Ying-Bin Chang, CONCLUSION: Anisodamine and gabexate
PCBD越来越受到 Zha