摘要
目的探讨急性胆源性胰腺炎的诊断方法和治疗的选择。方法对近10年我科256例急性胆源性胰腺炎的临床资料分析。结果218例(占85.2%)为急性间质水肿型胰腺炎,38例(占14.8%)为急性坏死性胰腺炎。急性胆囊源性胰腺炎157例(占61.3%),急性胆管源性胰腺炎99例(占38.7%)。全组均先经药物保守治疗,其中201例(占82%)治愈后延期手术,18例(占7%)行早期手术,28例(占10.9%)行急症手术中死亡2例(占7.1%)。全组病死率为0.8%。结论在临床上急性胆源性胰腺炎可分为急性胆囊源性和急性胆管源性两种类型,在治疗上有非梗阻性和梗阻性之分。首先均应先予以药物保守治疗为宜,前者容易保守治愈后行择期手术,后者可能并发化脓性胆管炎和胰腺坏死,需急症手术或保守治疗无效时则需及早手术。
Objective To explore the diagnostic methods and the effect of treatmemt of biliary pancreatitis.Methods The clinical data of biliary pancreatitis in 256cases for 11years were analyzed retrospectively.Results There were acute interstitial edematous pancreatitis in 218cases（85.2%）and acute necrotizing pancreatitis in 38cases（14.8%）in pathology.157（61.3%）cases were cholecystic pancreatitis and 99（38.7%）cholangeitic pancreatitis.All cases were treated with medicine at first.There were postponent operation after cure of drugs in 210（82.0%）and 18（7%）cases early operation were perfomed.28cases（10.9%）must need do emergent operation and death from emergent operation in2（7.1%）.Total morality was 0.8%.Conclusion biliary pancreatitis may divided two types of cholecystic pancreatitis and cholangeitic pancreatitis and may divided of non-obstructive or obstructive at treatment.All cases should treatment with conservative procedure at first and then postponent operation were performed.Cholangeitic pancreatitis may follow by suppurative cholangitis and pancreatic necrosis,it need emergent or early operation if conservative therapy failure.
出处
《中国实用医药》
2010年第11期30-31,共2页
China Practical Medicine
关键词
胆源性胰腺炎
诊断
治疗
Biliary pancreatitis
Diagnosis
Therapy
