摘要
目的探讨急性胰腺炎入院后能否行快速十二指肠镜治疗,以期尽早有效地减轻胰腺炎反应,通过风险和效益评估明确快速治疗应用价值。方法急性胰腺炎确诊入院后6h内,床旁给予十二指肠镜治疗(乳头切开、胆胰管引流),观察腹痛、淀粉酶变化,住院时间,有无并发症出现。结果 2007年12月～2009年12月完成45例快速治疗,成功率93.3%,缓解率86.7%,重型化13.3%,并发症发生率6.7%。结论急性胰腺炎入院后快速的内镜治疗可以有效地引流出胰液和胆汁,不增加并发症,可加快缓解和恢复,预防重型化和复发。
Objective Explore the possibility of acute pancreatitis after admission for fast duodenoscope treatment,with a view to effectively reduce the pancreatitis respond as soon as possible,through a clear assessment of the risks and benefits of rapid treatment application.Methods 6h after admission diagnosis of acute pancreatitis,the bedside to give duodenoscope treatment（papilla incision,bile duct drainage）,observation of abdominal pain,amylase change,length of stay,with or without complications.Results From Dec.2007 to Dec.2009,45 cases accept fast treatment,success rate 93.3%,remission rate 86.7%,increase rate 13.3%,complication rate 6.7%.Conclusion Quickly after admission with acute pancreatitis endoscopic treatment can be effectively out of pancreatic juice and bile drainage,not increase complications,can accelerate mitigation and recovery,and prevent the increase and the recurrence.
出处
《四川医学》
CAS
2011年第3期313-314,共2页
Sichuan Medical Journal
基金
成都市卫生局科研项目(编号:0714)
