急性胰腺炎120例治疗分析

目的探讨不同类型及不同阶段的急性胰腺炎(AP)的治疗选择。方法总结2000年1月~2004年12月的120例急性胰腺炎治疗的临床资料。结果120例急性胰腺炎中,急性轻症胰腺炎(MAP)85例全部治愈,急性重症胰腺炎(SAP)35例,其中2例死亡,并发胰周脓肿2例,胰腺假性囊肿2例,肠瘘1例,其余均治愈。结论对AP伴腹腔积液或弥漫性腹膜炎应予腹腔穿刺灌洗引流、胃管内注或外敷中药等保守治疗,MAP很快治愈;胆道梗阻立即手术或行鼻胆管引流保守治疗,延期手术以消除再发病因。如胰腺感染,立即手术。

Treatment analysis of 120 patients with acute pancreatitis

Aim To evaluate the approach of treatment of acute pancreatitis of different types and stages.Methods Retrospectively,a total of 120 patients with mild or severe acute pancreatitis treated in Anhui provincial hospital from January 2000 to December 2004 were analyzed.Results Of all the 120 patients,85 with mild acute pancreatitis were healed.And of 35 patients with severe acute pancreatitis,including 2 with peripancreatic abscess,2 with pancreatic pseudocyst and one with intestinal fistula,33 patients were healed and 2 were dead.Conclusion Non operation therapies are the radical methods to treat mild or severe acute pancreatitis.Peritoneal drainage lavage integrating traditional medicine treatment may have efficacy to the patients with diffuse peritonitis or ascites.Operating therapy should be taken once SAP patients were admitted with pancreatic necrosis.Nasal-bild duct drainage or operation could be taken on pancreatitis patients with AOSC.