摘要
目的:探讨急性胆源性胰腺炎(ABP)的发病机制、外科处理方式及预后。方法:回顾性分析我院2004年6月至2009年6月收治的126例ABP的临床资料。结果:入院时梗阻性ABP 39例,非梗阻性ABP87例;轻型81例,重型45例。早期手术29例中发生并发症12例(41.4%),死亡7例;延期手术97例中发生并发症5例(5.2%),死亡1例。结论:外科手术在胆源性胰腺炎治疗中具有重要地位,以胆道梗阻为主的ABP应急诊解除梗阻,胆道无梗阻先采用非手术治疗,待胰腺炎控制后,再处理胆道病变。
Objective:To investigate the pathogenic mechanism, operative treatment and prognosis of acute biliary pancreatitis (ABP). Methods: The clinical data of 126 patients with ABP from Jun 2004 to Sep 2009 were analyzed retrospectively.Results:39 were obstructive type and 87 were non-obstructive type. 81 were categorized as mild and 45 as severe. 12 cases (41.4%)occured complications and 7 died among 29 cases operated early, 5 occured (5.2%) complications and 1 died among 97 cases operated delay. Conclusion: Surgical operation plays an important role in the treatment of ABP. The biliary obstruction predominant ABP should be treated on the obstruction as priority whereas the non-obstruction type should be treated conservatively first to control the imflammation in pancreas before the biliary problems getting treated.
出处
《岭南急诊医学杂志》
2010年第4期298-300,共3页
Lingnan Journal of Emergency Medicine
关键词
急性胰腺炎
胆源性
外科处理
acute pancreatitis
biliary
surgical intervention