急性胆源性胰腺炎手术时机的选择

Opportunity Selection of Operation of Acute Bile Pancreatitis

目的探讨急性胆源性胰腺炎手术时机的选择。方法回顾性分析38例急性胆源性胰腺炎的临床资料。结果25例轻型胆源性胰腺炎经非手术治疗症状缓解后1～2周内延期手术治疗;7例因胰腺炎加重导致急性出血性坏死性胰腺炎急症手术治疗,术后2例死亡（病死率28.6%）。6例因胆管梗阻症状加重行急症手术治疗,经手术解除梗阻,引流通畅治愈。结论轻型胆源性胰腺炎应选择非手术治疗,症状缓解后延期手术治疗。急性梗阻性胆源性胰腺炎在非手术治疗症状仍加重时应采取手术治疗,急性胆源性出血坏死性胰腺炎手术治疗死亡率高。

Objective To discuss the opportunity selection of operation of aeute bile pancreatitis. Methods Tbe clinical materials of 38 cases of such patient were analyzed retrospectively. Results 25 cases of slight patient were treated with conservative therapy for 1 ～ 2 weeks and then operation was performed. 7 cases of hemorrhage necrosis had underwent emergency operation and 2 died. 6 cases of obstruction had underwent emergency operation with good results. Conclusion The slight patient should be treated conservatively and symptom relief and operation delayed. The severe cases of hemorrhage and obstruction should be performed emergency operation but the mortality of hemorrhage pancreatitis was higher.