老年急性胆源性胰腺炎36例诊治体会  

CLINICAL ANALYSIS OF 36 CASES WITH BILIOGENIC PANCREATITIS IN AGED

作　　者：贺房勇[1] 赵鹏[1] 张国志[1] 李曙光[1] 陈建立[1] 

机构地区：[1]华北煤炭医学院附属医院普外科,河北唐山063000

出　　处：《河北医科大学学报》2008年第2期200-202,共3页Journal of Hebei Medical University

摘　　要：目的总结分析老年急性胆源性胰腺炎的临床特点及治疗经验。方法对2003年1月-2006年12月收治的36例老年胆源性胰腺炎进行回顾性分析。结果病因,胆囊结石8例,胆总管结石11例,胆囊结石并发胆总管结石14例,肝内胆管结石并发胆总管结石3例。入院后均首先给予非手术治疗,其中7例行急症手术治疗,24例行择期手术治疗,其余5例经非手术治疗后痊愈出院。住院期间出现内科并发症8例,手术后并发症6例。治愈34例,死亡2例。结论老年胆源性胰腺炎患者以胆石病为主要病因。早期以非手术治疗为主,待病情稳定后,择期手术解除梗阻,可减少并发症,降低病死率。Objective To summarize the clinical feature and therapeutic experience of biliogenic panvreatitis in aged. Methods From January 2003 to December 2006,36 cases with senile biliogenic pancreatitis were analyzed retrospectively. Results In the cases of this group,the cholecystolithiasis,choledocholithiasis, cholecytolithiasis associated with choledocholithiasis and hepatolithiasis associated with choledocholiithiasis were accounted for 8, 11, 14 and 3 cases respectively. At first, all the 36 cases underwent conservative treatment. Seven cases underwent emergency operadion. Twenty-four cases underwent selective operation. The others were discharged from the hospital after conservative treatment. Hospitalization complications of medicine were occurred in 8 cases. Postoperative complications were in 6 cases. Thirty-four cases were cured and 2 cases died. Conclusion The main cause of senile biliogenic pancreatitis is cholelithiasis. For improving the cure rate and reducing the mortality of senile biliogenic pancreatitis,attention of the early conservative treatment is very important. The operation should be done when the state of an illness is stable. It can reduce syndrome and mortality.

关 键 词：老年人 胰腺炎 治疗 

分 类 号：R657.51[医药卫生—外科学]