急性胆源性胰腺炎手术治疗时机选择

目的：探讨急性胆源性胰腺炎（ABP）手术及非手术治疗时机的选择。方法：回顾性总结分析近年来我院急性胆源性胰腺炎患者48例的临床资料及治疗方法。结果：48例急性胆源性胰腺炎患者中，32例非梗阻型患者（27例轻症，5例重症）早期采取保守性的非手术治疗，效果明显；16例梗阻型患者（13例轻症，3例重症）进行手术治疗，手术效果满意。结论：ABP早期非手术治疗疗效满意；对于急性胆源性胰腺炎，首先要鉴别有无胆道梗阻病变，如伴有胆道梗阻者应急诊症手术或早期手术；无梗阻的则先行非手术治疗，待病情稳定后再做胆道手术，把握好中转手术时机，减少手术风险。

Surgical Timing of Patients with Acute Biliary Pancreatitis

Objective To discuss the surgical and non-surgical timing of patients with acute biliary pancreatitis. Method Retrospective analysis of the clinical data and treatment of 48 cases of ABP patients in our hospital in recent years. Results Among 48 cases of ABP patients, 32 cases of non-obstructive patients (27 mild, 5 severe) were taken an early conservative non-surgical treatment with good effects; and 16 cases of obstructive patients (13 mild, 3 severe) were carried out surgery with satisfied results. Conclusion Non-surgical treatment of early ABP patients took satisfied effects; For patients with acute biliary pancreatitis, first of all it is necessary to identify the biliary obstructive disease, for which should be taken emergency surgery or early surgery; Patients with non-obstruction should not be taken surgical treatment until they are taken non-surgical treatment in stable condition, with an aim of grasping the transit opportunity and of reducing the risk of surgery.