Acute biliary pancreatitis with infection
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged at least 18 years old, male or female; 2. Acute biliary pancreatitis was diagnosed: (1) It accords with the symptoms and signs of acute pancreatitisPhysical examination showed right upper abdominal tenderness or total abdominal tenderness; (2) Imaging evidence of pancreatic swelling, exudation, necrosis, etc.; (3) B ultrasound, CT or ERCP examination confirmed the presence of biliary tract diseaseseg Cholecystitis, biliary --calculi or biliary tract infection; (4) There is no cause other than biliary tract disease; Concomitant signs of infection: (1) The axillary temperature is 38.5 degrees or higher; (2) Peripheral blood white blood cell count > 12*10^9/L; (3) C-reactive protein or PCT index increased, exceeding the upper limit of reference value; (4) Positive bacterial blood cultures or other evidence of infection; (5) Sign a informed consent.
Exclusion criteria
Exclusion criteria: 1. Known or suspected allergies to nitroimidazoles or cephalosporins; 2. Infection is caused by a fungus, parasite, virus, or tuberculosis; 3. Patients with severe peripheral and central nervous system diseases; 4. History of epilepsy; 5. Serious chronic liver disease child-pugh grade C; 6. Serum creatinine concentration =176.8µmol/L; 7. Hematopoietic function is low; 8. Chronic alcoholism; 9. The results of bacterial drug sensitivity indicated that cefoperazone resistance; 10. Pregnant and lactating women; 11. Other researchers considered the patients not suitable for this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical cure rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| damage in other organs; image in inflammation absorption; types of surgery; AE; | — |
Countries
China
Contacts
The First Affiliated Hospital of Wenzhou Medical University