Children with biliary tract infection and treatment of disease

Key symptoms: Acute cholecystitis and cholangitis in the relatively rare in children, who sometimes associated with cholelithiasis (more rare in children). Disease often than sharp, the incidence of more than 1 day after treatment. With abdominal pain, high fever Serbian war as the main symptoms, sometimes jaundice. Fu Teng on sustained or intermittent dull pain, severe pain or cramping. There are often accompanied by nausea and vomiting. High fever can cause convulsions, or the spirit of good, delirium, coma, and other symptoms. Less jaundice, a short time. Medical examination showed acute tolerance, body temperature of 38.5 ℃ in sustainable over up to 41 ℃, a clear right upper quadrant abdominal tenderness and tension, and sometimes swelling of the gallbladder can be touched. Is particularly serious in some cases to toxic shock as the main performance after treatment before the emergence of the stomach, belly full of tension and tenderness, and other signs of peritonitis. Peripheral blood WBC increased, and there are a number of neutrophils increased, the left and the poisoning of nuclear particles. Key measures: Acute cholecystitis may be non-surgical therapy, including the solution of cramps, pain and anti-infection treatment. Broad-spectrum antibiotics such as the recent benzylpenicillin, gentamicin, and metronidazole Pioneer-for-tat commonly used anti-bacterial drugs. As a result of not eating more, it will also be necessary to maintain nutrition and intravenous rehydration water. 1. Kiyotoshi Chinese medicine therapy in order to heat, liver qi Kuai-based. Prescription For example: Radix 3g, baicalin 9g, Radix 3g, Aurantii 9g, Radix 9g, the British public and 15g, rhubarb 6g, capillaris 15g, flabellata 6g. Severe abdominal pain were the Canadian dollar Hu 9g, Chuan Lianzi 9g. 2. Surgical treatment: surgical indications: ① diagnosed with biliary peritonitis after surgery as soon as possible; ② high fever, toxic shock, to correct a short period of time there was no significant improvement or deterioration in their conditions were; ③ In the course of treatment are complicated by liver abscess, pancreatitis, gallbladder perforation necrosis; ④ bile duct stone. Non-surgical scar stenosis who can not be lifted. Surgery is the principle: the lifting of obstruction of the bile duct, gall adequate drainage to reduce the pressure. Should be actively preparing for the pre-operative, including blood transfusions, rehydration, intravenous antibiotics and other measures to correct shock. If 3 to 6 hours of treatment, symptoms not improved, that is, should be held in emergency rescue operation so as not to lose the opportunity. Surgery under way in children in general and local conditions. In the case of purulent perforated or gangrenous cholecystitis will be used for cholecystectomy. Gallbladder disease, such as limited and generally poor children can also be made for gallbladder fistula. If a companion when the common bile duct inflammation or perforation of bile duct drainage line to be at the same time line shunt. General acute cholecystitis by the non-surgical treatment can be self-healing subsided, but associated with peritonitis, subject to post-actively preparing for the surgery. Key causes: Acute cholecystitis and cholangitis disease as the main stay of bile and bacterial infection. Multi-stranded as a result of bile duct obstruction caused by the obstruction of the common factors of congenital bile duct or inflammatory narrow cholecystojejunostomy match after a narrow regurgitation caused by parasites and common bile duct sphincter spasm. By the bacteria in the blood, lymph, intestinal tract or adjacent organ invasion and gallbladder and bile duct, causing inflammation of the E. coli bacteria in the main, accounting for about 70%, other Staphylococcus, Streptococcus, Proteus, and so on, can also Mixed infection. 【Prevention: No prevention. 【-Prone age: Prone to all ages.