目的:探讨急性胆源性胰腺炎(ABP)手术时机和术式的选择。方法:回顾性分析247例急性胆源性胰腺炎的临床资料。 结果:非手术治疗10例,死亡4例;12例急诊手术后发生并发症5例,死亡2例;169 例延期手术术后发生并发症1例,治愈;56例择期手术无并发症发生。结论:以胆道梗阻为主的ABP应急诊手术解除胆道梗阻;胆道无梗阻先采用非手术治疗,胰腺炎控制后,再处理胆道病变。
Citation:
LUO Yong.. Surgical Therapy of Acute Biliary Pancreatitis. West China Medical Journal, 2009, 24(2): 423-424. doi:
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- 1. Kelly TR,Elliott DW.Proper timing of surgery for gallstone pancreatitis[J].Am J Surg,1990,159(4):361-362..
- 2. Klaus M,John B.Fortnightly review:Acute pancreatitis[J].British Medical Journal,1998,316(1):44-48..
- 3. Beckingham IJ,Bornman PC.ABC of diseases of liver,pan2creas,and biliary system:Acute pancreatitis[J].British Medical Journal,2001,322(3):595-598..
- 4. 雷若庆,张圣道.胆石性急性胰腺炎的外科治疗问题[J].中华肝胆外科杂志,2002,8(2):94-95..
- 5. 王晓松,葛春林,郭仁宣,等.胆源性急性胰腺炎的临床分型与手术时机的选择[J].中国普通外科杂志,2002,11(3):131-134.