摘要
目的:探讨急性胆源性胰腺炎的外科治疗方法。方法:随机选取来本院进行诊治的急性胆源性胰腺炎患者68例,并对其临床资料进行回顾性分析。结果:经临床分析得知,68例急性胆源性胰腺炎患者中,轻症胰腺炎患者63例,对6例急诊患者行胆囊切除、胆总管切开取石等治疗,病情均好转,保守治疗57例,待病情缓解后实施剖腹或腹腔镜胆囊切除术或胆总管切开取石T管引流术,均痊愈;重症患者5例,均对其进行急诊治疗,2例死亡。结论:临床对急性胆源性胰腺炎患者进行治疗时,应对患者的病情作出正确判断,同时根据患者病情的严重程度,制定相应的治疗方案,合理实施手术,以保证患者的生命安全。
Objective: To discuss the surgical treatment in acute biliary pancreatitis. Methods: Randomly chose 68 patients with acute biliary pancreatitis diagnosed and treated in our hospital, and took the retrospective analyzed of clinical data. Results: According to the clinical analyzed, there were 63 cases with mild pancreatitis among 68 cases with acute biliary pancreatitis. 6 emergency patients received treatments of cholecystectomy and choledocholithotomy, with rapid progress of disease. 57 cases received conservative treatment, who took open or laparoscopic cholecystectomy or choledo cholithotomy T-tube drainage after diseasemodifying, all recovered. 5 critical patients received emergency treatment, 2 cases died. Conclusion: We have to take the correct diagnosis of diseases when treating patients with acute biliary pancreatitis clinically, and make the corresponding treatment plan and take the reasonable operation according to the degree of diseases, in order to guarantee the life safety of patients.
出处
《中国当代医药》
2011年第33期36-36,38,共2页
China Modern Medicine
关键词
急性胆源性胰腺炎
外科
胆囊切除
轻症
重症
Acute biliary pancreatitis
Surgical treatment
Cholecystectomy
Mild
Severe