胆源性重症胰腺炎手术治疗时机67例分析  

The Clinic Operation Timing of 67 Cases Biliogenic Pancreatitis

作　　者：张文新[1] 陈根荣[2] 

机构地区：[1]河南省焦作煤业集团中央医院普外科,焦作454150 [2]河南省焦作煤业集团中央医院消化内科,焦作454150

出　　处：《中国医药导刊》2008年第3期367-368,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨急性重症胆源性胰腺炎的手术时机。方法:回顾性分析67例胆源性急性重症胰腺炎患者的临床资料和治疗结果。结果:早期手术组并发症发生率82%,病死率30.5%,病程(82±11.5)d;早期保守治疗组并发症发生率39%,病死率16.1%,住院日(40±7.0)d。结论:一味强调早期手术并非最佳方案,对胆源性重症胰腺炎早期可先行保守治疗,病情稳定后(2～3周后)择期手术为最佳时机;保守治疗期间严格掌握手术指征,及时中转手术,则可避免贻误治疗时机。Objective：To discuss the opportunity selection of operation of acute bile pancreatitis. Methods： The clinic almaterials of 67 cases Of such patient were analyzed retrospectively. Results： Early surgery group complication formation rate 82% , Case fatality rate 30. 5%, course of an illness （ 82 ± 11.5 ） d ; Early conservative treatment group complication formation rate 39%. Case fatality rate 16. 1% ,in hospital date （40±7. 0）d. Conclusion： Emphasized constantly the early surgery preferred plan, to the gallbladder source critically ill pancreatitis early time might the advance conservative treatment, after the condition stable （2 -3 weeks ） pick an auspicious date by no means the surgery was the best opportunity; The conservative treatment period strict grasping surgery refers drafts, relays promptly the surgery, then might avoid causing delay the treatment opportunity.

关 键 词：胆源性 急性重症胰腺炎(SAP) 手术时机 

分 类 号：R657.51[医药卫生—外科学]