急性胆源性胰腺炎的诊治及疗效的临床分析

http://www.100md.com 2011年2月15日 《中国医学创新》2011年第5期

     【摘要】 目的 探讨胆源性胰腺炎的发病机制，诊断和治疗方法。方法 通过回顾分析176例急性胆源性胰腺炎的临床资料。结果 126例轻型非梗阻型胆源性胰腺炎患者均给予非手术治疗后痊愈，其中112例3~6个月后行择期胆道手术。48例轻型梗阻型胆源性胰腺炎患者先进行非手术治疗，其中急诊手术10例，限期手术38例，均痊愈。重型梗阻型2例，均急诊手术，术后恢复良好。结论 急性胆源性胰腺炎由活动性胆道疾病引起的胰腺炎急性发作，早期以非手术治疗为主。

    【关键词】 胆源性胰腺炎； 诊断； 治疗

    Clinical Analysis of the Diagnosis,Treatment and Cruative Effect of the Acute Biliary Pancreatitis Mao GuoFeng. Pudong Branch of Shanghai Ninth People,s Hospital, ShangHai 200125，China

    【Abstract】 Objective To investigate the pathogenesis of biliary pancreatitis, diagnosis and treatment.Methods Retrospective analysis of 176 cases of acute biliary pancreatitis information.Results 126 patients with mild non-obstrructive biliary pancreatitis patients were asked to give non-cured after surgery, in which 112 patients underwent elective three to six months biliary tract surgery. 48 patients with obstructive biliary pancreatitis light the first non-surgical treatment of patients, including 10 cases of emergency surgery, operative period, 38 cases were cured. 2 cases of severe obstruction were emergency surgery, postoperative recovery was good.Conclusion: Acute pancreatitis caused by biliary tract disease by the activity of acute pancreatitis, early non-surgical therapy. ......