腹部术后急性胰腺炎46例诊断与治疗

Clinical diagnosis and treatment of acute pancreafitis after abdominal operation

目的探讨腹部手术后急性胰腺炎的病因、早期诊断和防治。方法回顾性分析解放军第一一三医院2001年2月至2010年12月发生的46例腹部手术后急性胰腺炎患者的临床资料。结果手术操作引起的机械性损伤、胆道梗阻或逆流、胰腺微循环障碍是诱发术后胰腺炎的重要原因。术后早期发生腹痛等症状结合动态监测血、腹腔引流液淀粉酶及腹部CT检查是早期诊断的可靠方法。结论腹部术后急性胰腺炎重在预防。一旦发生术后急性胰腺炎关键在于早期诊断，并及时有效的治疗。大多数患者经非手术治疗能取得良好的治疗效果。

Objective To evaluate the causes, early diagnosis and prevention of acute pancreatitis after abdominal surgery. Methods The clinical data of 46 patients with acute pancreatitis after abdominal surgery in our department from February 2001 to December 2010 were analyzed retrospectively. Results The main cause may be intraoperative pancreatic injury, obstuction or regurgitation of bile duct and pancreatic ischemia. Early diagnosis of acute pancreatitis after abdominal surgery may be rely on the early abdomen after operation, combined with monitoring of amylase in blood and abdominal drainage fluid, and emergency abdominal CT. Conclusions It is very importmant that the prevention of acute pancreatitis after abdominal surgery. The key is early diagnosis and effective treatment of acute pancreatitis after abdominal surgery once it occurred. Most petients can be cured by non -operation therapy.