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目的探讨急性胆源性胰腺炎(ABP)发病机制、手术时机和术式的选择。方法回顾性总结双流县第二人民医院2001年1月-2008年12月所诊治的76例急性胆源性胰腺炎的临床资料。结果非手术治疗6例,死亡2例;8例急诊手术后发生并发症2例,死亡1例;28例延期手术及34例择期手术均无并发症发生。结论以胆道梗阻为主的急性胆源性胰腺炎应急诊手术解除胆道梗阻;胆道无梗阻则先采用非手术治疗,胰腺炎控制后,再处理胆道病变。
Objective To investigate the pathogenesis of acute biliary pancreatitis (ABP), timing and surgical options. Methods The clinical data of 76 cases of acute gallstone pancreatitis diagnosed and treated in the Second People’s Hospital of Shuangliu County from January 2001 to December 2008 were retrospectively reviewed. Results Non-surgical treatment in 6 cases, 2 cases of death; 8 cases of postoperative complications occurred in 2 cases and 1 case of death; 28 cases of delayed surgery and 34 cases of elective surgery without complications. Conclusions Emergency biliary obstruction with acute bile duct obstruction was used to relieve the biliary obstruction. Non-biliary obstruction was treated with non-surgical treatment. After the pancreatitis was controlled, the biliary tract lesions were treated again.