摘要
目的:探讨急性胰腺炎(AP)的合理治疗方案。方法:分析比较非手术和延期手术治疗及早期手术治疗在AP治愈率、并发症发生率及病程的差别。结果:非手术和延期手术治疗74例、早期手术治疗21例,治愈率、并发症发生率及病程分别为85.1%、16.2%、13.6天和66.7%、38.1%、28.2天(P<0.05)。结论:AP治疗应根据病因及病情的不同,采取“个体化”治疗,除存在明确发病因素(如胰胆管梗阻、感染性坏死等)外,AP急性反应期应采取非手术治疗,急性胆源性胰腺炎(ABP)应首选手术治疗,AP非手术治疗无效者,应积极改行手术治疗。
Objective To explore the optimal theropeutic strategy of acute pancreatitis （AP）.Methods The effect of treatment of non-operation and later operation and early operation on cure rate, complication rate and course of the disease in AP were retrospectively analysed. Results After non-operative and later operative treatment included 74 cases, early operative treatment 21 cases respectively ,cure rate,complication rate and course of the disease were 85.1%, 16.2%, 13.6 days and 66.7% ,38.1%,28.2 days respectlvely （P〈0.05） .Conclusion According to the difference of aetology and severity ,the treatment should be taken individually.In acute reaction period of AP should adopt non-operation ,unless there exists promoting factors. For acute biliary pancreatitis ,operation is the first choice. If patients can not be cured by non -operation ,operation should be performed.
出处
《安徽卫生职业技术学院学报》
2005年第5期21-22,共2页
Journal of Anhui Health Vocational & Technical College
关键词
急性胰腺炎
治疗
个体化
pancreatitis
therapy
acute diseases
