胆道蛔虫病致急性胰腺炎38例临床分析

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28例，死亡l例；手术治疗10例，死亡2例。水肿型25例，非手术治疗23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l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，但当出血坏死型胰腺炎有感染征象时应及早采用手术治疗。

Clinical analysis of 38 cases acute pancreatitis caused by biliary ascariasis

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.