摘要
目的探讨急性胆源性胰腺炎治疗方法及手术时机选择。方法回顾性分析55例急性胆源性胰腺炎的临床资料。结果非手术治疗10例,死亡1例;急诊手术治疗18例,死亡3例,发生并发症3例;延期手术10例,无死亡病例,并发症2例;择期手术17例,无并发症及死亡病例。结论急性胆源性胰腺炎应采取个体化的治疗方法:胆道无梗阻或梗阻较轻者可采用非手术治疗方法,待症状缓解后再行延期手术或择期手术治疗;胆总管梗阻较重者或胆囊颈管结石嵌顿者应行急诊手术治疗。
Objective To investigate the treatment and operation timing of acute biliary pancreatitis. Methods The clinical data of 55 cases were analyzed retrospectively. Results Among 55 patients with acute biliary pancreatitis, 18 patients underwent emergeny operation,3 patients died after operation. 10 patients underwent non-operation and 1 patient died. 10 patients underwent delayed operation after the conservative therapy took effectin 2 - 3 weeks without death,and 2 patients had postoperative complications. 17 patients underwent selective operation without any postoperative complication or death. Conclusion The operative timing for patients with acute gallstone pancreatitis should be individualized. The patients with acute severe obstructive cholangitis or stone set in neck of gallbladder should undergo emergency operation,other should undergo conservative therapy at first and then after pancreatitis has been controlled,delayed operation or selective operation are performed when the symptom remitcompletely.
出处
《中国现代医生》
2008年第31期39-40,共2页
China Modern Doctor
关键词
胰腺炎
胆石病
个体化治疗
手术时机
中西医结合治疗
Pancreatitis
Cholelithiases
Individualized therapy
Operation timing
Integrated Chinese and western medicine treatment
