第16卷第5期2007年5月中国普通外科杂志ChineseJournalofGeneralSurgeryVol.16No.5May.2007文章编号:1005-6947(2007)05-0412-03·胰腺炎专题研究·非梗阻性胆源性重症急性胰腺炎的治疗陈彦波,陈功华,谷志余(湖南省桑植县人民医院普通外科,湖南桑植427100)摘要:目的探讨非梗阻性胆源性重症急性胰腺炎的早期治疗方法。方法对收治的非梗阻性胆源性重症急性胰腺175例采用不同的治疗方案,其中63例3d内接受手术治疗,112例2周内行非手术治疗,对两组的临床治疗效果进行回顾性分析和总结。结果3d内手术治疗组中出现严重并发症者21例(33.3%),死亡16例(25.4%)。2周内接受非手术治疗组中出现严重并发症者19例(16.9%),死亡14例(12.5%);两组间差异均有显著性(P均<0.05)。结论非梗阻性胆源性重症急性胰腺炎2周内宜行非手术综合治疗,不宜过早手术。[中国普通外科杂志,2007,16(5):412-414]关键词:胰腺炎/治疗;胆道疾病/并发症;手术时机;非手术治疗中图分类号:R657.51文献标识码:ATreatmentofsevereacutenonobstructivebiliarypancreatitisCHENYanbo,CHENGonghua,GUZhiyu(DepartmentofAbdominalSurgery,thePeople′sHospitalofSangchiCounty,Sangzhi,Hunan427100China)Abstract:ObjectiveToexploretheearlytreatmentofsevereacutenon-obstructivebiliarypancreatitis(ANOBP).MethodsOnehundredandseventyfivecasesofsevereacutenon-obstructivebiliarypancreatitiswereadmittedtoourhospitalinrecent9years.Amongthem,63casesreceviedoperativetreatmentwithin3daysafterthediseaseoccurred,andother112caseshadnonoperativetreatment.Restrospectivelyanalyseofthetherapeuticresultsofthe2groupsweremade.ResultsInthegroupoperatedwithin3days,severecomplicationsoccurredin21cases(33.3%)and16casesdied(25.4%).Inthe112caseswhohadnonoperativetreatmentwithinthefirsttwoweeksofdisease,severecomplicationsoccurredin19cases(16.9%)and14casesdied(12.5%).Thetreatmentresultsweresignificantdifferencebetweenthetwogroups(P<0.05).ConclusionsItispropertoadoptnonobstructivetreatmentintheearlyphase(within2weeks)ofsevereacutenonobstructivebiliarypancreatitis,andtooearlyoperationisnotsuritable.[ChineseJournalofGeneralSurgery,2007,16(5):412-414]Keywords:Pancreatitis/ther;BiliaryTractDiseases/compl;...