肝胆胰外科杂志2012，Vol.24Issue(1)：38-40,3.
胆源性胰腺炎的诊断和治疗
Diagnosis and treatment of biliary pancreatitis
朱胜利 1林擎天2
作者信息
- 1. 上海市崇明庙镇人民医院,外科,上海,202153
- 2. 上海交通大学附属第六人民医院,外科,上海,200233
- 折叠
摘要
Abstract
Objective To explore the diagnostic methods and the effect of treatment. Methods The clinical data of biliary pancreatitis in 236 cases for 10 years were analyzed retrospectively. There were acute interstitial edematous pancreatitis in 211 cases (89.4%), and acute necrotizing pancreatitis in 25 cases (10.5%) in pathology. Results All cases were treated with medicine at first. There were selective operation after cure of drugs in 210 cases (88.9%) and early operation were performed in 11 cases( 4.6% ) because without effect, 10 cases (4.2%) must do emergent operation, of them 1 case (10%) died from emergent operation. Endoscopic therapy in 5 cases(2.1%). Total mortality in all cases was 0.42%. Conclusion Majority cases of biliary pancreatitis should be treated with conservative procedure at first and then selective operation were performed. Biliary pancreatitis may result from suppurative cholangitis and pancreatic necrosis with infection, it need emergent or early operation if conservative therapy failure. Nowadays, endoscopic therapy may achieve good effect.关键词
胆源性胰腺炎/诊断/治疗Key words
biliary pancreatitis/ diagnosis/ treatment分类
医药卫生引用本文复制引用
朱胜利,林擎天..胆源性胰腺炎的诊断和治疗[J].肝胆胰外科杂志,2012,24(1):38-40,3.
