Zavarský F, Slamen J, Straka V, Mikolajcík A, Katuscák I, Strmen J
Chirurgická klinika FNsP, Martin.
Rozhl Chir. 1990 Feb;69(2):114-8.
The authors evaluate the results of treatment of acute pancreatitis at the surgical clinic in 1972-1988. In 64% biliary pancreatitis was involved. The group with a more severe, complicated course is formed by 22.1% patients. In that group the mortality rate was 21.6%. In 57% it was accounted for by patients with biliary pancreatitis. In the group with a mild course of pancreatitis (77.9% of patients) the mortality was 0.9%. The approach to treatment of cholelithiasis in the acute stage of pancreatitis must be considered on an individual basis. In the majority of patients disease of the biliary pathways can be treated after control of acute pancreatitis during the primary hospitalization. In some patients surgery of the biliary pathways during acute pancreatitis is indicated. The risk of operation is high. Therefore in some patients endoscopic papillosphincterotomy is indicated.
作者评估了1972年至1988年期间外科诊所急性胰腺炎的治疗结果。其中64%涉及胆源性胰腺炎。22.1%的患者构成了病情更严重、病程复杂的组。该组的死亡率为21.6%。其中57%是由胆源性胰腺炎患者导致的。在胰腺炎病程较轻的组（占患者的77.9%）中，死亡率为0.9%。胰腺炎急性期胆石症的治疗方法必须因人而异。在大多数患者中，胆道疾病可在初次住院期间急性胰腺炎得到控制后进行治疗。在一些患者中，急性胰腺炎期间需要进行胆道手术。手术风险很高。因此，在一些患者中，内镜下乳头括约肌切开术是适用的。
