40例急性胆源性胰腺炎临床治疗分析

目的探讨急性胆源性胰腺炎（ABP）的病因、治疗方式及临床分析。方法回顾性分析40例急性胆源性胰腺炎的临床资料。结果9例延期手术，31例急诊手术。31例术后积极综合治疗，获满意疗效，平均住院2W。T管于出院后4W造影证实胆道通畅，一次性拔除，无并发症发生。随访1～3年，平均2．5年，无胰腺炎再次发作。结论轻型胆源性胰腺炎早期应以非手术治疗为宜，急性重型胆源性胰腺炎早期亦主张非手术治疗，一旦病情发展需急诊手术。

Treatment for Acute Biliary Pancreatitis: A Clinical Analysis of 40 Cases

Objecave： To discuss the etiology and treatment for acute gallstone pancreatitis （ABP）. Methods： Looking back on analyzing 40 cases of acute gallstone pancreatitis clinical data. Results： There were 9 cases of delayed surgery and 31 cases of emergency surgery .31 cases of active after treatment, was satisfied with the effect, the average length of stay 2W. T tubule was discharged from hospital after open biliary confirmed 4W contrast, the removal of one-time, without complications. Follow-up 1 -3 years, an average of 2.5 years, no pancreatitis attacked again. Conclusion： Light gallstone pancreatitis should be based on the early non-surgical treatment is appropriate, heavy-duty acute gallstone pancreatitis is also an early advocate of non-surgical treatment, once the condition required emergency surgery.