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目的探讨胆源性胰腺炎保守治疗的积极意义和效果。方法回顾性分析52例胆源性急性胰腺炎的临床资料。结果39例非梗阻型胆源性急性胰腺炎病例经保守治疗后均痊愈出院;13例梗阻型胆源性急性胰腺炎亦先予以保守治疗,其中1例短时间内转化为暴发性胰腺炎改行急症手术后并发多器官功能衰竭死亡,2例72 h内病情加重改行急症手术后治愈,另外10例均经保守治疗后痊愈,以后择期胆道手术。结论对于胆源性急性胰腺炎早期应考虑以保守治疗为主。
Objective To explore the positive meaning and effect of conservative treatment of biliary pancreatitis. Methods The clinical data of 52 cases of biliary acute pancreatitis were retrospectively analyzed. Results 39 cases of non-obstructive biliary acute pancreatitis were cured after conservative treatment; 13 cases of obstructive biliary acute pancreatitis was also conservative treatment, of which 1 case of sudden conversion to fulminant pancreatitis Emergency surgery complicated by multiple organ failure, 2 cases within 72 h aggravating the condition after emergency surgery was cured, the other 10 cases were cured after conservative treatment, after elective biliary surgery. Conclusion For the early biliary acute pancreatitis should be considered conservative treatment based.