Vandooren M, Robin P, Gordien J M, Huten N, Chalons F
Sem Hop. 1982 Jul 8;58(28-29):1698-702.
This article reviews 71 cases of acute pancreatitis on the basis of 153 criteria. All the patients concerned underwent operations or anatomical checkups. The indications and résults of the different types of operation are analysed. It is the authors' policy to operate as soon as possible in order to assess the gravity of the lesions. This attitude is justified by the risk of unsuspected biliary stones and the uncertain evolution of extravasated peripancreatic effusion tracks. Strictly controlled drainage still has its place in the treatment of pancreatitis, alongside of exeresis and necrosectomy.
本文基于153条标准对71例急性胰腺炎病例进行了回顾。所有相关患者均接受了手术或解剖检查。分析了不同类型手术的适应证及结果。作者的策略是尽快进行手术以评估病变的严重程度。未被怀疑的胆结石风险以及胰周渗出液道的不确定演变证明了这种态度的合理性。在胰腺炎的治疗中,除了切除和坏死组织清除术外,严格控制的引流仍有其作用。