中国社区医师Issue(15):59-60,2.DOI:10.3969/j.issn.1007-614x.2014.15.36
急性胆源性胰腺炎诊治体会
Diagnosis and treatment experience of acute biliary pancreatitis
摘要
Abstract
Objective:To explore the treatment method and operation opportunity of acute biliary pancreatitis.Methods:36 cases with acute biliary pancreatitis were selected.Their clinical data and treatment methods were retrospectively analyzed.Results:In the early onset within 3 days,21 patients with outlet obstructed constipation were treated with operative treatment to clinical recovery.The average hospitalization day was 11 days.15 patients with non outlet obstructed constipation were treated with conservative treatment.Patients were treated with non-operative treatment in early,waiting for the relief of symptoms,and they were treated with operative treatment in 1 to 2 weeks to clinical recovery.1 case(2.8%) was death.The average hospitalization day was 18 days.Conclusion:Acute biliary pancreatitis in general can be treated with conservative treatment.We must first determine whether patients have biliary obstruction.If patients with biliary obstruction,they should be given timely operative treatment.If patients without biliary obstruction ,they should be given non-operative treatment, waiting for the relief of symptoms, and they were treated with operative treatment.It can reduce the operation risk,reduce complications,and reduce the operation mortality.关键词
急性胆源性胰腺炎/治疗/手术时机Key words
Acute biliary pancreatitis/Treatment/Operation opportunity引用本文复制引用
王春华..急性胆源性胰腺炎诊治体会[J].中国社区医师,2014,(15):59-60,2.