CAJ | 학술논문

目的：对重症急性胆源性胰腺炎的外科治疗时机的选择进行探讨,并对其疗效进行分析,提高重症急性胆源性胰腺炎的临床治愈率。方法回顾性分析2002年1月至2013年5月本院收治的29例重症急性胆源性胰腺炎患者的临床资料。结果25例行择期手术患者痊愈出院,4例行急诊手术患者中有1例死亡,余3例痊愈出院。结论重症急性胆源性胰腺炎外科手术治疗时机的选择应遵循个体化原则。对无胆道梗阻的患者可先行积极的非手术治疗,待临床症状好转后再行延期手术；对有胆道梗阻且出现严重并发症患者经积极的非手术治疗后症状无缓解应及时手术治疗。
목적：대중증급성담원성이선염적외과치료시궤적선택진행탐토,병대기료효진행분석,제고중증급성담원성이선염적림상치유솔。방법회고성분석2002년1월지2013년5월본원수치적29례중증급성담원성이선염환자적림상자료。결과25례행택기수술환자전유출원,4례행급진수술환자중유1례사망,여3례전유출원。결론중증급성담원성이선염외과수술치료시궤적선택응준순개체화원칙。대무담도경조적환자가선행적겁적비수술치료,대림상증상호전후재행연기수술；대유담도경조차출현엄중병발증환자경적겁적비수술치료후증상무완해응급시수술치료。
Objective To investigate the operation opportunity of severe acute biliary pancreatitis(SABP) and ana-lyze the efficency,aim to improve the clinical cure rate of SABP. Method 29 cases of SABP patients,hospitalized in our hospital from January 2002 to May 2013,were analyzed retrospectively. Result 25 patients undergoing deferred operation were discharged,in other 4 cases of SABP early operation was adopted,among them 3 cases were cured and 1 case died. Conclusion The operation opportunity of SABP should be made individuality. SABP patients without bil-iary obstruction should be treated at first in conservative way and accepted the delayed operation,after clinical symp-toms improved,only those with severe complications need timely surgical treatment.