摘要
有关急性重症型胰腺炎的手术时机及手术方式目前尚有争议。对38例急性重症型胰腺炎的病人施行手术治疗。胆源性胰腺炎主张早期手术治疗，非胆源性胰腺炎病人有并发症者亦采取手术治疗。胰腺坏死范围小于50％的病人以胰腺被膜切开减张、坏死组织清除为基本术式；胰腺坏死范围大于50％者行切口开放引流，间断、多次清创术，取得了较好的疗效。
It is uncertain as to the time and the method of surgery of acute severe pancreatitis,From 1990 to 1997, 38 patientssuffering from acut esevere pancreatitis were treated surgically in our hospital. We in sisted that biliogenic pancreatitis be operatedin the earlier time,and the non-biliogenic pancreatitis with complications also be treated with operation. Relief incision of pancreatic capsula and necrotic tissue cleaning were performed for the patients with necrotic range less than 50% of the pancrea,and the patients more than 50 %,were given open-incision drainage,intermittent and multiple debridement. The result were satisfied.
出处
《肝胆外科杂志》
1998年第6期330-331,共2页
Journal of Hepatobiliary Surgery
关键词
重症
胰腺炎
手术时机
术式
Severe pancreatitis
Surgical treatment
