老年急性胆源性胰腺炎治疗分析

目的：探讨老年急性胆源性胰腺炎的诊断和治疗办法。方法：回顾性分析27例急性胆源性胰腺炎的临床资料。结果：确诊急性胰腺炎27例，其中男性10例，女性17例。急性充血水肿性胰腺炎26例（96.3％），急性出血坏死性胰腺炎1例（3．7％）。急诊或早期手术治疗14例，非手术治疗13例，均无死亡，未发生严重并发症，随访时间3个月～4年。结论：B超为急性胆源性胰腺炎的首选检查办法，早期诊断和正确治疗的患者预后良好，梗阻性急性胆源性胰腺炎宜在24～48h内手术治疗。非梗阻性胆源性胰腺炎以保守治疗为宜，病情稳定后1个月再行延期手术。

Clinical analysis of 27 cases with actue biliary pancreatitis in aged

Objective：To explore the experience of diagnosis and treatment of acute biliary pancreatitis （ABP） in eged. Methods：The clinical data of 27 cases of ABP were retrospectively analyzed. Results： A total of the 27 patients with 10 were male and 17 female. There were acute interstitial dmatous pancreatitis in 26 cases and acute necrotizing pancreatitis in 1 case. 14 patients received emergent or early operation and other nonoperative treatment. All the patients who were fol- lowed 3 month to 4 years had no symptom. Conclusion： B-US is the first choice for diagnosis of ABP. Timely diagnosis and right treatment of varieties of ABP result in good results. Surgical treatment should be performed within 24-48h for obstructive ABP. Non-obstructive ABP should be treated with conservative procedure performed at first and then postpo- nent operations were performer.