胆源性急性胰腺炎119例诊治体会  

Analysis of Diagnoses and Treatment of Biliary Acute Pancreatitis on 119 Cases

作　　者：寸向农[1] 杨继武[1] 尹光芬[1] 何举[1] 石洪波[1] 

机构地区：[1]大理学院附属医院普通外科,云南大理671000

出　　处：《大理学院学报（综合版）》2005年第5期60-62,共3页Journal of Dali University

摘　　要：目的:探讨胆源性急性胰腺炎的诊断和手术时机,方法:对1995年7月至2005年5月收治的胆源性急性胰腺炎(BAP)119例进行前瞻性分析,随机分为早期手术治疗组43例和保守治疗组76例,结果:入院后1w内行急诊手术43例,死亡3例,治愈40例,保守治疗组76例,晚期手术63例(保守治疗2～3w后),死亡3例,13例未行手术出院,结论:BAP(2w内)一般均可保守治疗,重型胆源性胰腺炎应在发病后3～4w炎症控制良好,病情稳定后再及时手术,可以缩短住院时间,减少并发症,降低手术死亡率。Objective： To investigate the diagnosis and operation opportunity of biliary acute pancreatitis. Methods： Retrospectively analyzed 120 cases with biliary acute pancreatitis that were operated 44 and conesrvative treated 76. All cases were treated in the hospital during 1995-2005. Results： 43 cases were operated after hospitalization one week, died 4 and cure 39 cases. Died 3 of 76 cases with conservative treatment, thereinto, 63 cases were operated after hospitalization 2-3 weeks. 13 cases leave hospital without operation. Conclusions： Biliary acute pancreatitis can adopt conservative treatment. The operation for badly biliary acute pancreatitis should be in time that after control inflammation and steady state of the illness. It can shorten the time in the hospital, decrease complications and reduce the mortality.

关 键 词：胆源性急性胰腺炎 保守治疗 手术时机 

分 类 号：R576[医药卫生—消化系统]