胆源性胰腺炎的诊断与外科手术治疗 |
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引用本文: | 马延午,杨西鹏,张水军.胆源性胰腺炎的诊断与外科手术治疗[J].中国当代医药,2013(5):177-178. |
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作者姓名: | 马延午 杨西鹏 张水军 |
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作者单位: | [1]河南省濮阳市油田总医院普外二科,河南濮阳457001 [2]郑州大学第一附属医院肝胆外科,河南郑州450052 |
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摘 要: | 目的探讨胆源性胰腺炎的临床诊断和手术治疗时机和方法。方法选取本院收治的胆源性胰腺炎病例90例,对其临床资料进行回顾性分析。结果轻症胰腺炎治愈率明显高于重症胰腺炎;死亡5例,均为重症胰腺炎,其中早期手术2例分别死于多脏器功能衰竭和急性呼吸窘迫综合征,晚期手术3例皆死于由于术后继发腹腔严重感染所引发的多脏器功能衰竭;9例出现并发症,早期手术并发症发生率明显高于晚期手术。结论胆源性胰腺炎诊断可根据患者的临床表现结合B超以及CT检查,治疗时应根据患者的具体情况选择手术时机和手术方案。
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关 键 词: | 胆源性胰腺炎 诊断 手术时机 治疗 |
The diagnosis and surgical treatment of biliary pancreatitis |
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Authors: | MA Tingwu YANG Xipeng ZHANG Shuijun |
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Institution: | 1.The Second Section of General Sugery, Field General Hospital of Puyang City, He'nan Province, Puyang 457001, China; 2.Department of Hepatobiliary Surgery, Zhengzhou University First Affiliated Hospital, He' nan Province, Zhengzhou 450052, China) |
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Abstract: | Objective To explore the clinical diagnosis and surgical treatment timing and methods of biliary pancre- atitis. Methods Ninety cases biliary pancreatitis were selected, and the clinical data were retrospectively analyzed. Results The cure rate of mild acute pancreatitis was obviously higher than severe acute pancreatitis; 5 cases were died, all for severe acute pancreatitis, including early surgical 2 cases were died of multiple organ failure and acute respiratory distress syndrome, late, operation in 3 cases died due to multiple organ failure caused by postoperative sec- ondary celiac serious infection; 9 cases were complications, the occurrence rate of early surgical complications was ob- viously higher than that of the late operation. Conclusion Biliary pancreatitis diagnosis according to the clinical mani- festations of patients with B ultrasound and CT examination, treatment should be based on the specific condition of patients choose operation time and operation scheme. |
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Keywords: | Biliary pancreatitis Diagnosis The operation time Treatment |
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