胆源性胰腺炎手术时机的选择和术后处理

Operative timing and postoperative management of gallstone pancreatitis

目的 :探讨胆源性胰腺炎 (GP)的手术时机和术后处理。方法 :分析 4 8例GP的临床资料。结果 :轻型GP 35例采用非手术疗法治愈 ,1～ 3周后再行胆道手术 32例 ,无手术并发症。重型GP13例 ,全部急诊手术 ,但术后出现不同程度的并发症 ,死亡 1例。结论 :轻型GP应待急性发作缓解后手术。重型GP ,若全身条件许可 ,应积极行外科手术治疗 。

Objective: To investigate the operative timing and postoperrative management of gallstone pancreatitis(GP). Methods: 48 cases of clinical data of GP were analyzed retrospectively.Results: 35 cases of mild pancreatitis were cured with non-operative treatment. After one to three weeks,32 cases of operations of biliary tract were performed and no postoperative complications were found,13 cases of severe pancreatitis had operated in an emergency, but had some complication,1 cases died.Conclusion: The operative timing of mild pancreatitis should be in the remission stage. When the patient's general condition is permitted ,the surgical treatment should be performed actively in the severe pancreatitis and pay great attention to postoperative management.