胆源性急性胰腺炎的手术指征和时机选择探讨  

Operation indications and timing of acute biliary pancreatitis

作　　者：关养时[1] 陈旭辉[1] 李晓强[1] 

机构地区：[1]深圳市第五人民医院普外科,广东深圳518001

出　　处：《海南医学》2012年第6期105-106,共2页Hainan Medical Journal

摘　　要：目的探讨胆源性急性胰腺炎的手术指征和时机选择。方法选取我院2003年7月至2011年7月胆源性胰腺炎患者58例分为早期手术组(28例)和延期手术组(30例),观察两组的不同手术方法后的治疗效果。结果早期手术组28例患者中出现并发症21例,发生率为75.00%,死亡2例,死亡率为7.14%,而延期手术组30例患者出现并发症10例,发生率为33.33%,无一例死亡病例。结论手术治疗时机对于胆源性急性胰腺炎患者的预后具有很重大的影响,如果早期进行保守治疗,然后针对患者个体情况来选择适当的时机,治疗效果更好。Objective To study the operation indications and timing of acute biliary pancreatitis. Methods Fifty-eight patients with acute biliary pancreatitis admitted in our hospital from July 2003 to July 2011 were divided into early operation group （n=30） and delayed operation group （n=28）. The clinical effects were compared between the two groups. Results In the early operation group, 21 （75.00%） of the 28 patients were found with complications, and 2 （7.14%） died. In the delayed operation group, 10 （33.33%） of the 30 patients were found with complications, and no patient died. Conclusion The operation timing is of great importance to the prognosis of patients with acute pancreatitis. It is more effective to choose appropriate operation time according to individual situation.

关 键 词：胆源性急性胰腺炎 手术时机 手术指征 

分 类 号：R657.51[医药卫生—外科学]