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| 急性胆源性胰腺炎135例临床分析 | |
| 引用本文： | 马松林,蔡崇元,任辉明,刘武. 急性胆源性胰腺炎135例临床分析[J]. 华北国防医药, 2008, 20(6) |
| 作者姓名： | 马松林 蔡崇元 任辉明 刘武 |
| 作者单位： | 荆门市第二人民医院普通外科,湖北荆门448000 |
| 摘 要： | 目的：探讨急性胆源性胰腺炎（AGP）的治疗方法。方法：回顾性分析我院1998年7月-2007年12月所收治的135例AGP临床资料。结果：本组轻症AGP112例行非手术治疗，待急性发作期缓解后延期手术，术前对可疑胆管梗阻者首选磁共振胰胆管造影（MRCP）检查，胆管手术首选LC；重症AGP23例采用延期手术与个体化相结合的处理原则，其中18例重症AGP伴梗阻者经积极非手术治疗无缓解者首选内镜治疗。除2例重症患者在短期内死亡外，其他病例均取得了良好的效果。结论：AGP应根据其分型选择治疗方法。 |
| 关 键 词： | 胰腺炎,急性胆源性 疾病类型 临床方案 |
Analysis of 135 Cases of Acute Gallstone Pancreatitis |
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| MA Song-lin,CAI Chong-yuan,REN Hui-ming,LIU Wu. Analysis of 135 Cases of Acute Gallstone Pancreatitis[J]. Medical Journal of Beijing Military Region, 2008, 20(6) | |
| Authors: | MA Song-lin CAI Chong-yuan REN Hui-ming LIU Wu |
| Affiliation: | MA Song-lin,CAI Chong-yuan,REN Hui-ming,LIU Wu(Department of General Surgery,the Second People' s Hospital of Jingmen,Jingmen,Hubei 448000,China) |
| Abstract: | Objective:To discuss the treatment of acute gallstone pancreatitis(AGP).Methods:135 cases of acute gallstone pancreatitis from July 1998 to December 2007 in our hospital were analyzed retrospectively.Results:Mild AGP should have delayed operation after acute period.MRCP was the best option.Laparoscopic cholecystectomy(LC)was the best option in gall duct operation.23 severe AGP cases had delayed operations,including 18 severe cases of AGP accompanied by obstruction were treated with non-operation method and ... |
| Keywords: | Pancreatitis acute gallstone Disease type Clinical procedures |
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