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目的:探讨胆源性急性胰腺炎(AGP)早期保守治疗的积极意义及效果。方法:2004-01/2008-12广东省深圳市龙岗区人民医院对54例AGP早期采取保守治疗,少部分中转手术,对其结果回顾性分析和总结。结果:54例AGP早期均采取保守治疗,其中49例临床治愈(之后,31例行择期手术),5例早期中转手术(治愈4例,死亡1例)。结论:AGP早期(2周内)应考虑以保守治疗为主,多数可行保守治疗达到临床治愈,病情稳定后可行择期手术。
Objective: To investigate the significance and effect of early conservative treatment of biliary acute pancreatitis (AGP). METHODS: From January 2004 to December 2008, 54 patients with AGP were treated conservatively at the People’s Hospital of Longgang District, Shenzhen City, Guangdong Province from January 2004 to December 2008, and the results were retrospectively analyzed and summarized. Results: All the 54 AGP patients were treated conservatively in the early stage, of which 49 cases were cured (31 cases were followed by elective surgery) and 5 cases were treated by early intervention (4 cases were cured and 1 died). CONCLUSION: In the early stage of AGP (2 weeks), conservative treatment should be considered, and most feasible conservative treatment should be clinically cured, and stable operation should be performed after elective surgery.