Ong G B, Lam K H, Lam S K, Lim T K, Wong J
Br J Surg. 1979 Jun;66(6):398-403. doi: 10.1002/bjs.1800660607.
A series of 311 Chinese patients with acute pancreatitis admitted to Queen Mary Hospital, Hong Kong, over a 10-year period is reviewed. Biliary tract disease was associated with pancreatitis in 52.4 per cent of patients and 77.9 per cent of them had stones, mud or parasites in the common bile duct. Fever and jaundice were present in 55 per cent and 41.2 per cent of patients respectively. Because of the prevalence of recurrent pyogenic cholangitis among the indigenous population, emergency operation, with the aim of common duct decompression, was conducted in 54.3 per cent of patients during the acute episode, with a mortality rate of 14.8 per cent. Five of 142 patients (3.5 per cent) died whilst on conservative treatment and all 5 had haemorrhagic pancreatitis. The overall mortality rate was 9.6 per cent. Exploration of the common bile duct, which was carried out in 57.4 per cent of patients in the acute phase, was not associated with a higher mortality than when laparotomy alone was performed, and 19 patients had sphincteroplasty without any death. Subtotal pancreatectomy was performed in 2 patients with haemorrhagic pancreatitis with 1 death.
回顾了香港玛丽医院10年间收治的311例中国急性胰腺炎患者。52.4%的患者胰腺炎与胆道疾病有关，其中77.9%的患者胆总管有结石、胆泥或寄生虫。分别有55%和41.2%的患者出现发热和黄疸。由于当地人群中复发性化脓性胆管炎的患病率较高，54.3%的患者在急性期接受了以胆总管减压为目的的急诊手术，死亡率为14.8%。142例接受保守治疗的患者中有5例（3.5%）死亡，这5例均为出血性胰腺炎。总死亡率为9.6%。57.4%的患者在急性期进行了胆总管探查，其死亡率并不高于单纯开腹手术，19例患者进行了括约肌成形术，无死亡病例。2例出血性胰腺炎患者接受了胰腺次全切除术，1例死亡。
