【摘要】目的 讨论胆源性急性胰腺炎的治疗选择方法和治疗的时机。方法 根据我院收治的47例胆源性急性胰腺炎患者，其中男20例，女27例，平均45岁很据临床特点选择手术方法进行有效的治疗。结果 非手术治疗32例，其中转院4例，死亡1例；手术治疗21例，死亡2例。其中早期手术13例，死亡1例；延期手术32例，死亡1例。本组14例为重症胆源性胰腺炎，手术治疗12例，死亡2例，,其中早期手术7例，死亡1例；延期手术4例，死亡1例。结论 要密切观察非手术治疗患者 对进行手术的患者要选择合理的术式，并且要掌握好手术时机是治疗胆源性急性胰腺炎关键。

    【关键词】胆源性 胰腺炎

    中图分类号：R576 文献标识码：A 文章编号：1005-0515(2011)5-024-02

    47 cases of biliary acute pancreatitis diagnosis and treatment of

    Liu Hong

    (Dali, Yunnan Province People's Hospital, Dali, Yunnan 671000)

    【Abstract】Objective To discuss the treatment of biliary acute pancreatitis selection methods and the timing of treatment. Methods 47 patients in our hospital in patients with biliary acute pancreatitis, including 20 males and 27 females, average age of 45 are selected according to clinical characteristics of effective surgical treatment. Results of non-surgical treatment of 32 cases, including transferred in 4 cases, 1 death; surgical treatment of 21 patients, 2 died. Among the early surgery in 13 cases, 1 death; delayed operation in 32 cases, 1 died. The group of 14 patients with severe gallstone pancreatitis, surgical treatment of 12 cases, 2 deaths, in which early surgery in 7 cases, 1 death; delayed operation in 4 cases, 1 died. Conclusion Non-surgical treatment to closely observe the patient for surgery of patients to choose a reasonable surgical, and to master the timing of surgery is the key to treatment of biliary acute pancreatitis. ......