[急性胰腺炎的差异化治疗]

[Differential treatment of acute pancreatitis].

作者信息

Reshetnikov E A, Bashilov V P, Lialikov V A, Ul'ianov V I

出版信息

Khirurgiia (Mosk). 2005(8):45-51.

Abstract

Results of examination and treatment of 194 patients with acute pancreatitis were analyzed. It is revealed that the diagnosis of an etiopathogenetic form of acute pancreatitis is a key moment in the choice of the treatment. Patients with acute biliary pancreatitis and alimentary pancreonecrosis with pancreatogenic peritonitis require urgent surgical treatment at early stages of the disease. Laparoscopic cholecystectomy and Haulstad's drainage of the common bile duct are the procedures of choice in acute biliary pancreatitis. Alimentary pancreonecrosis with pancreatogenic peritonitis is the indication for videolaparoscopic drainage procedure and peritoneal dialysis as soon as possible after the disease beginning. This approach decreased lethality, number of complication and hospital stay.

摘要

对194例急性胰腺炎患者的检查和治疗结果进行了分析。结果显示，急性胰腺炎病因学类型的诊断是治疗选择的关键环节。急性胆源性胰腺炎和伴有胰腺源性腹膜炎的营养性胰腺坏死患者在疾病早期需要紧急手术治疗。腹腔镜胆囊切除术和胆总管Haulstad引流术是急性胆源性胰腺炎的首选手术方式。伴有胰腺源性腹膜炎的营养性胰腺坏死是疾病开始后尽快进行视频腹腔镜引流术和腹膜透析的指征。这种方法降低了死亡率、并发症数量和住院时间。