【摘要】 目的探讨急性胆源性胰腺炎(acute biliary pancreatitis ABP)外科治疗的时机与方法。方法 41例ABP患者均采用外科手术治疗。结果本组41例患者均获治愈。结论对ABP的治疗应根据其病情与类型而定,对伴有胆总管下端梗阻或胆道感染的重症ABP应急诊或早期(72 h)手术,对不伴胆道完全梗阻、胆管炎的重症ABP患者,早期采取保守治疗,手术尽量延至病情稳定后。对急性水肿性ABP可经保守治疗,病情稳定后2～4周行胆道手术,但保守治疗期间若出现胆管炎、胆囊坏疽或穿孔应急诊手术。更多还原

【Abstract】 Objective To investigate the surgical treatment of acute gallstone pancreatitis,the timing and method.Methods 41 cases of surgical treatment of patients with acute gallstone pancreatitis Gallstone pancreatitis light.Results in 28 cases,severe gallstone pancreatitis in 13 cases,were cured.Conclusion on the treatment of acute gallstone pancreatitis should be based on its condition and the type of the associated common bile duct obstruction or biliary tract infection with severe acute biliary pancreatitis should emergency or early(72 hours) surgery,for not accompanied by complete biliary obstruction,cholangitis in patients with severe ABP,the early conservative treatment,as much as possible until a stable condition after surgery;of acute edematous gallstone pancreatitis can be a stable condition after conservative treatment 2~4 weeks after biliary tract surgery,but Special attention should be conservative obstruction during treatment if there cholangitis,gallbladder gangrene or perforation should emergency surgery.更多还原