摘要
目的:探讨老年急性胆源性胰腺炎的诊断和治疗办法。方法:回顾性分析27例急性胆源性胰腺炎的临床资料。结果:确诊急性胰腺炎27例,其中男性10例,女性17例。急性充血水肿性胰腺炎26例(96.3%),急性出血坏死性胰腺炎1例(3.7%)。急诊或早期手术治疗14例,非手术治疗13例,均无死亡,未发生严重并发症,随访时间3个月～4年。结论:B超为急性胆源性胰腺炎的首选检查办法,早期诊断和正确治疗的患者预后良好,梗阻性急性胆源性胰腺炎宜在24～48 h内手术治疗。非梗阻性胆源性胰腺炎以保守治疗为宜,病情稳定后1个月再行延期手术。
Objective：To explore the experience of diagnosis and treatment of acute biliary pancreatitis （ABP） in eged. Methods：The clinical data of 27 cases of ABP were retrospectively analyzed. Results： A total of the 27 patients with 10 were male and 17 female. There were acute interstitial dmatous pancreatitis in 26 cases and acute necrotizing pancreatitis in 1 case. 14 patients received emergent or early operation and other nonoperative treatment. All the patients who were fol- lowed 3 month to 4 years had no symptom. Conclusion： B-US is the first choice for diagnosis of ABP. Timely diagnosis and right treatment of varieties of ABP result in good results. Surgical treatment should be performed within 24-48h for obstructive ABP. Non-obstructive ABP should be treated with conservative procedure performed at first and then postpo- nent operations were performer.
出处
《中国当代医药》
2009年第4期24-25,共2页
China Modern Medicine
关键词
老年
急性胆源性胰腺炎
治疗
Eged
Acute biliary pancreatitis
Treatment
