• Department of General Surgery, Hospital of Luoyang Medical College, Luoyang 471003;
Acute cholangitis Hypotension Splanchnic block Operative treatment Death rate
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Objective  To study the neural mechanism of hypotension or shock state in acute cholangitis in severe type (ACST) and its value of clinical application.
Methods  A technique of blocking abdominal splanchnic nervi via right adipose capsule of kidney was carried out on 28 patients by injecting 1% lidocaine before urgent operation.
Results  After blocking the relevant nervi, hypotension or shock state in 23 patients were improved significantly (Ｐ＜0.05). The death rate was lower (14.3%) after having performed biliary decompressions with laparotomy. Conclusion  Patients′ hypotension or shock state at the early phase of ACST is the result of neural reflex in which the splanchnic nervi is its afferent pathway. Blocking the relevant nervi before urgent operation, the valuable opportunity of emergency treatment can be obtainded and the complication and death rate are reduced significantly.

Citation： SUN Junjun,ZHENG Qichang,HU Youhua,et al.. THE SIGNIFICANCE OF SPLANCHNIC BLOCK VIA ADIPOSE CAPSULE OF KIDNEY DURING EMERGENCY TREATMENT OF ACUTE CHOLANGITIS IN SEVERE TYPE. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(1): 42-43. doi: Copy