摘要
目的:探讨急性胆源性胰腺炎治疗方式的不同选择.方法:分析58例急性胆源性胰腺炎的临床资料.结果:29例经非手术治疗症状缓解,3wk后行延期手术,平均住院天数33d,24例在发病3d内行急诊手术,平均住院天数9d;5例行非手术治疗,平均住院天数20d.延期手术组6例死亡(病死率20.69%);早期手术组4例死亡(病死率16.67%),非手术组1例死亡(病死率20.00%).结论:急性胆源性胰腺炎早期应选择手术治疗;绝大多数急性胆源性胰腺炎的患者行早期手术治疗是安全的.
AIM： To discuss the choices of different treatments for acute biliary pancreatitis. METHODS： The clinical data of 58 cases of acute biliary pancreatitis were analyzed retrospectively. RESULTS： 29 patients underwent a delayed operation 3 weeks after the conservative therapy took effect in, average hospitalzation time being more than 33,24 patients underwent an early emergency operation 3 after onset, average hospitalzation time being more than 9. 5 patients underwent a conservative therapy, average hospitalzation time being more than 20. 6 patients died in delayed operation group 20%. 4 patients（ 16.67% ） died in early surgery group. 1 patient （20%） died in conservative therapy group. CONCLUSION： The patients with acute biliary pancreatitis should undergo early surgery at first hand. Early emergency operation can be performed safely in the majority of cases of acute biliary pancreatitis.
出处
《第四军医大学学报》
北大核心
2006年第8期703-705,共3页
Journal of the Fourth Military Medical University
关键词
胰腺炎/治疗
pancreatitis/therapy
