52例胆源性急性胰腺炎的临床治疗体会

目的:探讨胆源性急性胰腺炎的治疗方法及效果。方法:选取我院2003年8月至2013年8月收治的52例胆源性急性胰腺炎患者为研究对象,对其临床资料进行回顾性分析。结果:入院后2周左右择期接受手术治疗的梗阻型患者的住院时间(25.57±5.42)d明显少于接受急诊手术的该类患者的住院时间(32.27±8.28)d,二者相比有统计学意义(P<0.05);入院后2周左右择期接受手术的非梗阻患者的住院时间(26.12±6.01)d明显少于接受急诊手术(33.89±9.87)d的该类患者的住院时间,二者相比有统计学意义(P<0.05)。结论:对于胆源性急性胰腺炎患者,可根据其胆道有无梗阻进行分型治疗。一般来说,通常在患者的病情稳定之后再处理胆道病变。

Objective: To investigate treatments for acute gallstone pancreatitis. Methods: Our hospital from August 2003 to August 2013 were treated 52 cases of acute biliary pancreatitis patients for the study, the clinical treatment of patients were analyzed retrospectively. Results: The length of stay of about two weeks after admission for elective surgery for obstructive patients(25.57 ± 5.42) d was significantly less than received emergency surgery hindered hospitalization time(32.27 ± 8.28) d,(P <0.05) were statistically significance. Hospitalization time about two weeks after admission for elective surgery for patients with non-obstructive(26.12 ± 6.01) d was significantly less than received emergency surgery(33.89 ± 9.87) d hospitalization in patients with non-obstructive,(P <0.05) were statistically significant.Conclusion: biliary acute pancreatitis according to the presence or absence of biliary obstruction type and rule, patients with biliary tract disease usually stable condition after further treatment.