中国普外基础与临床杂志

中国普外基础与临床杂志

急性胆源性胰腺炎诊治进展

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目的 总结当前急性胆源性胰腺炎的诊治新进展情况。 方法 检索近年来国内外有关急性胆源性胰腺炎的相关文献并进行综述。 结果 急性胆源性胰腺炎是外科常见的急腹症,胆管结石是其主要发病原因。本病起病急、进展快、病死率高。目前依靠影像学及实验室检查不难做出诊断。在明确诊断的基础上积极的非手术治疗及外科干预是关键,但应选择合适的手术时机。 结论 对于急性胆源性胰腺炎在非手术治疗的基础上积极地外科干预是治疗的重点,选择的合理手术方式并进行适时的外科干预可以有效阻止病情进展,降低病死率,实现收益最大化。

Objective To summarize new progress in diagnosis and treatment of acute biliary pancreatitis at present. Methods The related literatures on the acute biliary pancreatitis in recent years were searched and reviewed. Results The acute biliary pancreatitis was a common acute abdomen in the surgery. The biliary stone was the main cause of the disease. The disease was acute, rapid, and has a high mortality rate. It was not difficult to make a diagnosis by relying on the imaging and laboratory tests. The active non-surgical treatment and surgical intervention were the key to a clear diagnosis, but the appropriate surgical timing should be chosen. Conclusions For acute biliary pancreatitis, active surgical intervention based on non-surgical treatment is focus of treatment. Reasonable choice of surgical methods and timely surgical intervention can effectively prevent progression of disease, reduce mortality rate, and maximize patients’ benefits.

关键词: 急性胆源性胰腺炎; 诊断; 治疗

Key words: acute biliary pancreatitis; diagnosis; treatment

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