急性胆源性胰腺炎治疗分析

目的探讨急性胆源性胰腺炎治疗方法。方法对1998年至2006年收治的胆源性急性胰腺炎36例的临床资料进行回顾性分析总结。结果23例轻型胰腺炎中非手术治疗治愈18例,5例入院后72小时内行手术治疗,无1例死亡。重型胰腺炎13例,早期手术7例,延迟手术4例,死亡1例。结论胆源性急性胰腺炎,非胆道梗阻型可保守治疗,待胰腺炎症消除后再行解决胆源性疾病。胆道梗阻者则积极早期手术解除胆道梗阻防止胰外脏器的损伤使病情恶化,降低死亡率。

The Treatment of Gallstone Acute Pancreatitis

Objective To evalute the treatment of gallstone acute pancreatitis Method The clinical data of 36 patients with gallstone acute pancreatitis admitted to our hospital were studied.Results 18 cases of acute mild unobstructive pancreatitis were cured by nonsurgicaltreatment.5 cases of acute mild unobstructive pancreatitis were cured by operation within 72 hours.7 cases of acute serious pancreatitis were cured by operation within 72 hours.4 cases of acute serious pancreatitis were cured by operation after 20 days.Conclusion The gallstone acute pancreatitis were cured by non-surgical treatment,then treated the gallstone.The obstructive pancreatitis should be treated by operation within 72 hours to get rid of obstruction to release the organs and mortality rate.