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目的总结分析老年急性胆源性胰腺炎的临床特点及治疗经验。方法对2002年1月-2008年8月收治的60例老年胆源性胰腺炎进行回顾性分析。结果胆囊结石14例,胆总管结石18例,胆囊结石并发胆总管结石24例,肝内胆管结石并发胆总管结石4例。入院后均首先给予非手术治疗,其中12例行急症手术治疗,48例行择期手术治疗。住院期间出现内科并发症13例,手术后并发症8例。治愈58例,死亡2例。结论老年胆源性胰腺炎患者以胆石病为主要病因。早期以非手术治疗为主,待病情稳定后,择期手术解除梗阻,可减少并发症,降低病死率。
Objective To summarize and analyze the clinical features and treatment experience of elderly patients with acute biliary pancreatitis. Methods A retrospective analysis of 60 elderly patients with gallstone pancreatitis admitted from January 2002 to August 2008 was performed. Results 14 cases of gallstones, common bile duct stones in 18 cases, gallbladder stones complicated by common bile duct stones in 24 cases, intrahepatic bile duct stones complicated by common bile duct stones in 4 cases. After admission were given non-surgical treatment, of which 12 cases of emergency surgery, 48 cases of elective surgery. 13 cases of medical complications during hospitalization, postoperative complications in 8 cases. 58 cases were cured and 2 died. Conclusion Cholelithiasis is the main cause of senile biliary pancreatitis. Early non-surgical treatment of the main, stable condition, elective surgery to lift the obstruction can reduce complications and reduce mortality.