摘要
目的:探讨胆源性急性胰腺炎的合理手术治疗方法。方法:回顾性分析1995年-2004年收治的胆源性急性胰腺炎122例的临床资料。结果:轻型胆源性急性胰腺炎84例,予早期急诊手术解除胆道梗阻,均获痊愈; 重症胆源性急性胰腺炎38例,病情迅速恶化,出现胰腺坏死、感染,予手术引流,痊愈32例,死亡6例。结论:对胆源性急性胰腺炎有胆道梗阻者,早期急诊手术解除胆道梗阻,可获良好预后;对重症胆源性急性胰腺炎出现坏死感染者应及时手术引流,防治并发症是降低其病死率的关键。
Objective： To investigate the proper treatment of surgery for acute biliary pancreatitis. Method： The clinical data of 122 patients with acute biliary pancreatitis were analyzed retrospectively from 1995 to 2004. Results： 84 cases of slight acute biliary pancreatitis with biliaty obstruction were cure d by urgent surgery. 38 cases of severe acute biliary pancreatitis with rapid deteriorated clinical conditions underwent exploration. And 32 cases were cured, other 6 cases died. Conclusion： Biliary pancreatitis with biliary obstrution should be treated by urgent surgery early, and will earn satisfactory prognosis. Severe acute biliary pancreatitis with infected necrosis should be treated by exploration promptly, preventing and properly treating various complications are key factors to reduced death rate.
出处
《岭南急诊医学杂志》
2005年第3期189-190,共2页
Lingnan Journal of Emergency Medicine
