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胆源性胰腺炎58例治疗分析
引用本文:高峰,呼延清,刘勇峰,刘小刚. 胆源性胰腺炎58例治疗分析[J]. 医学争鸣, 2006, 27(8): 703-705
作者姓名:高峰  呼延清  刘勇峰  刘小刚
作者单位:延安大学附属医院普外科,陕西,西安,716000;延安大学附属医院普外科,陕西,西安,716000;延安大学附属医院普外科,陕西,西安,716000;延安大学附属医院普外科,陕西,西安,716000
摘    要:目的:探讨急性胆源性胰腺炎治疗方式的不同选择. 方法: 分析58例急性胆源性胰腺炎的临床资料. 结果: 29例经非手术治疗症状缓解,3 wk后行延期手术,平均住院天数33 d,24例在发病3 d内行急诊手术,平均住院天数9 d; 5例行非手术治疗,平均住院天数20 d. 延期手术组6例死亡(病死率20.69%);早期手术组4例死亡(病死率16.67%),非手术组1例死亡(病死率20.00%). 结论: 急性胆源性胰腺炎早期应选择手术治疗;绝大多数急性胆源性胰腺炎的患者行早期手术治疗是安全的.

关 键 词:胰腺炎/治疗
文章编号:1000-2790(2006)08-0703-03
收稿时间:2005-11-30
修稿时间:2006-03-09

Investigation of treatments in 58 cases of acute biliary pancreatitis
GAO Feng,HU Yan-Qing,LIU Yong-Feng,LIU Xiao-Gang. Investigation of treatments in 58 cases of acute biliary pancreatitis[J]. Negative, 2006, 27(8): 703-705
Authors:GAO Feng  HU Yan-Qing  LIU Yong-Feng  LIU Xiao-Gang
Abstract:AIM: To discuss the choices of different treatments for acute biliary pancreatitis. METHODS: The clinical data of 58 cases of acute biliary pancreatitis were analyzed retrospectively. RESULTS: 29 patients underwent a delayed operation 3 weeks after the conservative therapy took effect in, average hospitalzation time being more than 33, 24 patients underwent an early emergency operation 3 after onset.average hospitalzation time being more than 9. 5 patients underwent a conservative therapy. average hospitalzation time being more than 20. 6 patients died in delayed operation group 20%.4 patients(16.67%) died in early surgery group.1 patient(20%) died in conservative therapy group. CONCLUSION: The patients with acute biliary pancreatitis should undergo early surgery at first hand. Early emergency operation can be performed safely in the majority of cases of acute biliary pancreatitis.
Keywords:pancreatitis/therapy
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