What is the treatment of infantile biliary tract infection?

summary

Acute cholecystitis and cholangitis are rare in children, and occasionally accompanied with cholelithiasis (more rare in children). Of the 66 cases treated in Beijing Children's Hospital in the past 25 years, only one 13-year-old girl suffered from acute suppurative choledochitis with stones. There were 49 males and 17 females. What is the treatment of infantile biliary tract infection? Let's share my experience with you.

What is the treatment of infantile biliary tract infection?

(1) Give up the bad habit of inducing acute cholecystitis attack, such as improper diet and so on. To change the sedentary lifestyle, more walking, more exercise（ 2) Keep your body and mind at ease. People with long-term depression can cause or aggravate the disease; (3) the patients should rest in bed during acute attack. At ordinary times, we should strengthen exercise and build up our physique; 　　

(4) Keep defecation unobstructed is also one of the key points to prevent acute cholecystitis attack. When constipation occurs, the symptoms are easy to cause or aggravate, so it is better to develop regular defecation; (5) cholecystectomy is a radical treatment for cholelithiasis; (6) pay attention to diet. The principle of diet is to reduce the amount of food, mainly vegetables, avoid greasy food. Severe cases should be fasted. TCM treatment of acute cholecystitis in children

For severe damp heat, Artemisia capillaris and Scutellaria baicalensis Georgi should be added; Rhubarb and Fructus aurantii can be added to constipation due to visceral excess; Those with delirium can take Angong Niuhuang Pill; In case of limb cold and sweating, take Dushen Decoction to strengthen Qi and remove. 　　

matters needing attention

In general, acute cholecystitis can subside and self-healing after non-surgical treatment, but patients with peritonitis should be treated with surgery after active preparation. Among 66 cases, 3 cases died, 1 case was 2 months old and 2 cases were under 1 year old. All of them were children with advanced biliary peritonitis.