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胆源性急性胰腺炎70例诊断与治疗分析

Diagnosis and treatment of 70 cases with biliary acute pancreatis

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【作者】 朱国民陶东升

【Author】 ZHU Guo-min,TAO Dong-sheng(The 2nd People’s Hospital in Chizhou,Chizhou 247000,China)

【机构】 安徽省池州市第二人民医院

【摘要】 目的:探讨胆源性急性胰腺炎(BAP)临床诊断与治疗。方法:对1998年5月~2010年5月70例BAP患者的临床资料进行回顾性分析。结果:本组患者70例,61例经非手术治疗痊愈,9例行早期手术治疗而治愈。经非手术综合治疗后,10例胆总管扩张患者愈后复查胆总管内径明显减小,未发现结石。择期胆道手术40例,有3例自行排石,5例至今未手术,3例失访,无死亡病例。平均住院时间15.7d。结论:对于梗阻型BAP患者应尽早手术引流解除胆道梗阻,对于非梗阻型BAP并发胆道结石患者,应行非手术支持治疗,待病情缓解后,择期胆道手术。

【Abstract】 Objective:To discuss the diagnosis and treatment of biliary acute pancreatis(BAP).Methods:Clinic data of BAP 70 cases during May 1998 to May 2010 were analyzed retrospectively.Results:A total of 61 cases without surgery and 9 cases with surgery were in cure.After non-surgery combined therapy,reexamination showed 10 cases with choledochectasia had obviously shrinking inner diameter of common bile duct,and no cholelithiasis.Out of 40 cases with bile surgery,3 cases had self-lithagogue.Five cases had no surgery,and 3 cases were free of follow-up.No death occurred.The average hospitalization duration was 15.7 d.Conclusions:Surgery is necessary for obstructive BAP patients,while non-surgery supportive treatment is preferred for non-obstructive patients.The bile surgery should be performed as disease is relieved.

【基金】 海南医学院科研基金资助学报项目(0020100336)~~
  • 【文献出处】 海南医学院学报 ,Journal of Hainan Medical University , 编辑部邮箱 ,2010年09期
  • 【分类号】R657.51
  • 【被引频次】2
  • 【下载频次】41
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