| 摘要: |
| ［摘要］ 目的 探讨急性梗阻型胆源性胰腺炎（AOGP）外科治疗的有关问题。方法 对65例梗阻型AGP患者的临床资料进行回顾性分析，轻症急性梗阻型胆源性胰腺炎(MAOGP)42例，保守治疗38例，急诊后期手术4例；重症急性梗阻性胆源性胰腺炎(SAOGP)23例，均行早期或急诊手术。结果 本组病例痊愈64例， 1例因伴心脏病、糖尿病、多器官功能衰竭及腹腔感染术后2周内死亡。结论 对伴有化脓性胆管炎的AOGP者早期宜行急诊手术，轻型梗阻性AGP早期积极非手术治疗，胰腺炎治愈后2～4周内择期手术治疗胆石病，可以降低复发率、并发症发生率和病死率。 |
| 关键词: 急性胰腺炎 胆石症 外科治疗 |
| DOI：10.3969/j.issn.1674-3806.2009.07.30 |
| 分类号:R 657.5 |
| 基金项目: |
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| Analysis on surgical treatment in 65 patients with acute obstructive gallstone pancreatitis |
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GONG Fu-xiang, ZHANG Di-ping, CHENG Ling-cai, et al.
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Department of General Surgery, Liangang Hospital, Loudi 417009, China
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| Abstract: |
| ［Abstract］ Objective To discuss the surgical treatment of acute obstructive gallstone pancreatitis (AOGP).Methods The clinial date of 65 patients with AOGP were analysed retrospectively. In 42 patients with mild acute obstructive gallstone pancreatitis (MAOGP), 38 patients received conservative therapy, 4 patients underwent delayed operation.All 23 patients with severe acute obstructive gallstone pancreatitis (SAOGP), underwent early or emergency surgery.Results Among 65 patients with AOGP, 64 patients were cured, 1 patients died of concomitant heart disease, diabetes, the multi-organ function failure and the abdominal cavity infection in 2 weeks after operation.Conclusion It is necessary to take the early emergency surgery for the patients with AOGP accompanied by the suppurative cholangitis and take the early positive non-surgery treatment for the patients with MAOGP; taking the selective operation for the patients with cholelithiasis in 2 to 4 weeks after the pancreatitis was cured, may reduce the recurrence rate, the occurrence complication and the case fatality rate. |
| Key words: Acute pancreatitis Cholelithiasis Surgical treatment |
