Reporter Tai Xuechao Correspondent Bi Yihe
The old man in his 60s in Chengyang had stomach pains for three days. He went to the hospital to check that it was acute cholangitis caused by gallstones. After admission, the infection index suddenly became serious. , combined with septic shock and multiple organ failure, after multidisciplinary treatment, the elderly finally turned the corner.
A few days ago, Li, a 60-year-old who lives in Chengyang The husband had a stomachache for three days, but it did not improve, so he went to the Gastroenterology Clinic of Peking University People’s Hospital Qingdao Hospital (Chengyang Branch of Qingdao Women’s and Children’s Hospital). It was judged that Mr. Li suffered from acute cholangitis induced by gallstones, and he was immediately admitted to the hospital.
Acute suppurative cholangitis is caused by acute bile duct complete obstruction and purulent infection. It is a bile duct infection. The severe form of the disease, also known as acute obstructive suppurative cholangitis, is the most important and direct cause of death in patients with biliary tract disease. The disease is more dangerous and the obstruction needs to be relieved as soon as possible.
After admission, the patient Epigastric pain suddenly worsened, chills, high fever, shortness of breath, palpitation and shortness of breath… The patient’s test results showed that a series of inflammatory indicators and cardiac and renal function indicators were significantly increased, and the infection indicators were seriously “exploding”. At the same time, blood pressure continued to It dropped to 80/50 mmHg, the heart rate reached 130 beats/min, and the consciousness gradually became blurred. The gastroenterology team judged that this was acute obstructive suppurative cholangitis combined with septic shock and multiple organ failure, and the first time he was given demethylation Adrenaline was used to maintain blood pressure, anti-infection and other symptomatic treatments. After timely treatment by the team, Mr. Li’s condition was relieved and he was transferred to the intensive care department for continued rescue treatment.
Afterwards, the intensive care team worked with gastroenterology, hepatobiliary Surgery, interventional medicine, cardiology and other multidisciplinary consultations, decided to perform ultrasound-guided gallbladder puncture and drainage for Mr. Li. During the rescue process, the patient suffered from decreased platelets and albumin, heart failure, acute renal failure, and acute respiratory distress syndrome. After multiple organ failure, the rescue team gave a series of rescue and treatment measures such as anti-infection, transfusion of plasma, albumin, platelets, blood purification, tracheal intubation ventilator-assisted breathing, etc., and finally turned the corner. At present, Mr. Li has successfully recovered and was discharged from the hospital. .