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目的探讨内镜治疗重症胆源性胰腺炎的时机与疗效。方法 21例经内镜治疗的重症胆源性胰腺炎病例,分早期治疗组(甲组,48h以内)11例,延迟治疗组(乙组,超过48h)10例。分别比较两组病例腹痛缓解的时间,血淀粉酶恢复正常的时间,平均住院天数及并发症情况。结果甲组病例腹痛缓解时间,血淀粉酶恢复正常时间及平均住院天数均短于乙组。甲组并发症2例,乙组并发症4例。结论重症急性胆源性胰腺炎尽早内镜治疗。
Objective To explore the timing and effect of endoscopic treatment of severe biliary pancreatitis. Methods Twenty - one cases of severe biliary pancreatitis treated by endoscopic treatment were divided into early treatment group (group A, 48 hours) and delayed treatment group (group B, over 48 hours) in 10 cases. Respectively, two groups of patients with abdominal pain relief time, blood amylase return to normal time, the average length of stay and complications. Results A group of patients with abdominal pain relief time, blood amylase recovery and the average length of stay were shorter than the B group. A group of complications in 2 cases, B group of complications in 4 cases. Conclusion Severe acute biliary pancreatitis endoscopic treatment as soon as possible.