胆道蛔虫病致急性胰腺炎38例临床分析

Clinical analysis of 38 cases acute pancreatitis caused by biliary ascariasis

目的 :总结胆道蛔虫病致急性胰腺炎的临床特点及治疗。方法 :回顾分析我院 10年来胆道蛔虫病致急性胰腺炎病例 38例。结果 :38例中非手术治疗 2 8例 ,死亡 1例 ;手术治疗 10例 ,死亡2例。水肿型 2 5例 ,非手术治疗 2 3例 ,手术治疗 2例 ,均治愈 ;出血坏死型 13例 ,非手术治疗 5例 ,死亡 1例 ,手术治疗 8例 ,死亡 2例。结论 :胆道蛔虫病致急性胰腺炎应遵循急性胰腺炎诊治的一般规律 ,实行“个体化治疗方案” ,尽可能行非手术治疗 ;即使要手术治疗 ,亦宜延缓 。

Objective:To study the clinical character and therapy of acute pancreatitis (AP)caused by biliary ascariasis(BA). Methods:We analyse the data from 38 cases AP caused by BA. Result:In the 10 cases treated operatively,8 cases were cured and 2 were dead.In the 28 cases treated nonoperatively,27 were cured and 1 was dead.All of the edema AP were cured.In the 13 cases necrosis AP, 10 cases were cured and 3 were dead. Conclusion:There is specific characteristic in the AP caused by BA,and most of them can cured nonoperatively.The therapy should obey the rule of specific scheme.