急性胆源性胰腺炎的治疗和手术时机的选择(附147例报告)  

Treatment and operation timing of actue pancreatitis due to biliary tract disease:a report of 147 cases.

作　　者：陈权海[1] 李清佩[1] 

机构地区：[1]上海第二医科大学附属新华医院普外科

出　　处：《中国实用外科杂志》1998年第1期26-27,共2页Chinese Journal of Practical Surgery

摘　　要：总结５年来１４７例急性胆源性胰腺炎的治疗经验。其中水肿型胰腺炎１０９例，坏死型胰腺炎３８例。早期手术２４例，死亡５例（占２０８％），择期手术６例，无１例死亡；早期非手术治疗１１７例，２例死于ＭＯＦ（占１７１％），１１５例痊愈，其中１１０例在３周至３个月内择期行胆石症手术。认为把握急性胆源性胰腺炎的手术时机，适时处理胆石症，在早期加强抗感染治疗，减少因胆道疾病导致的早期手术，尽可能选择限期或择期手术治疗胆石症，可以降低病死率和减少胰腺炎的复发。Therapy experience of 147 cases of acute pancreatits due to biliary tract disease was studied during five years.Among them,109 cases of acute edematous pancreatitis,38 cases of acute necrotic panceatits.24 patients were operated in early stage,5 patients were died.Postponed operation in 6 patients.No one died.Conservative therapy was performed on the other 117 cases and 2 patients died of MOF.110 patients accepted selective operation within 3 weeks～3 months after relieved from acute stage.The results indicate that choose operation timing of acute pancreatitis due to biliary tract disease and appropriate treatment for cholelithiasis,early enhancing of antibietic therapy and decreasing of early operation due to biliary tract diseases can play important role in decreasing the mortality and recurrent rate of acute pancreatitis.

关 键 词：胆源性胰腺炎 胰腺炎 外科手术 手术时机 

分 类 号：R657.510.5[医药卫生—外科学]