胆源性急性胰腺炎的治疗体会

The experience of biliary acute pancreatitis

目的:探讨胆源性急性胰腺炎的手术时机及方式的选择。方法:回顾性总结和分析本院57例胆源性急性胰腺炎的临床资料。采用保守治疗、早期手术治疗和择期手术治疗。结果:本组保守治疗25例,治愈24例,死亡1例;手术治疗32例,治愈29例,死亡3例。结论:早期保守治疗,病情恶化时需急诊手术治疗;保守治疗至病情稳定后,择期手术治疗。选择合适手术时机是"个体化"治疗胆源性急性胰腺炎的重要环节。

Objective： To investigate the treatment way and surgical operation opportune moment of the study biliary acute pancreatitis of choice. Methods： Summarized and analyzed clinical data of 57 patients with bile source pancreatitis. All 57 patients were treated with the conservative treatment, early operation therapy and elective operation treatment. Results： The group of conservative treatment in 25 cases, 24 cases were cured, 1 case death; operation treatment in 32 cases, 29 cases were cured, 3 cases died. Conclusion： Early conservative treatment, his condition worsened emergency operation treatment; conservative treatment to stable condition after treatment, elective operation. Select the appropriate operation time is ＂individual＂ in the treatment of acute biliary pancreatitis important link.