胆源性胰腺炎手术治疗体会  

Surgery treatment experience of biliary pancreatitis

作　　者：曾虎[1] 聂晚频[2] 刘海宁[1] 

机构地区：[1]湖南师范大学附属湘东医院肝胆外科,湖南醴陵412200 [2]中南大学湘雅三医院普外一科,湖南长沙410013

出　　处：《现代医药卫生》2013年第3期365-365,367,共2页Journal of Modern Medicine & Health

摘　　要：目的探讨胆源性胰腺炎手术治疗时机及方式的选择。方法回顾性分析2010年1月至2012年7月收治的96例胆源性胰腺炎患者的临床资料。结果 96例患者中治愈91例,术后患者临床症状、体征及实验室检查指标均明显缓解。因急性重症胰腺炎并发多器官功能衰竭死亡5例。结论急性非梗阻性胆源性胰腺炎早期应选择非手术治疗,待症状缓解后行延期手术治疗。对伴有胆管梗阻的急性重症胆源性胰腺炎患者宜采用早期外科手术治疗。Objective To study the selection of operation timing and operation mode of biliary pancreatitis. Methods The clinical data of 96 patients with biliary pancreatitis treated from January 2010 to July 2012 were analyzed retrospectively. Results Among 96 operative cases of biliary pancreatitis,91 cases were cured with significant remission in the postoperative clinical symptoms, signs and laboratory detection indexes. The other 5 cases died of severe acute pancreatitis accompanied with multiple organ failure （MOF）. Conclusion Acute non-obstructive biliary pancreatitis should be treated by selecting the non-opera tion therapy at early stage and then delayed operation after symptom relief. Early surgical operation should be adopted to the patients with severe acute biliary pancreatitis accompanied by bile duct obstruction.

关 键 词：胰腺炎 外科学 胆道疾病 并发症 胆总管结石 外科手术 

分 类 号：R657.51[医药卫生—外科学]