目的探讨有效的急性胆源性胰腺炎临床治疗方案。方法回顾分析2010年1月~2012年1月收治的65例急性胆源性胰腺炎患者的临床资料。结果在轻型急性胆源性胰腺炎患者组中,轻症非梗阻型患者没有出现并发症,无一例死亡；轻症梗阻型患者出现3例并发症,无一例死亡。在重型急性胆源性胰腺炎患者中,重症非梗阻型患者出现4例并发症,1例死亡；重症梗阻型患者出现4例并发症,2例死亡。结论选择恰当的方法是治疗急性胆源性胰腺炎的重要保证。对于轻型急性胆源性胰腺炎而言,非手术治疗是主要的方法；对于重型急性胆源性胰腺炎而言,延期手术和保守治疗是主要的方法。% Objective To evaluate the clinical treatment for acute biliary pancreatitis. Methods The clinical data of 65 cases of acute biliary pancreatitis in January 2010 to January 2012 were retrospectively analyzed. Results In the mild of acute biliary pancreatitis patients group, the mild non-obstructive type did not appear complications,and did not appear dead patients;the mild obstruction type appeared 3 patients with complications, did not appear dead patients. On the severe acute biliary pancreatitis patients, the severe non-obstructive type appeared 4 patients with complications, and one patient died;the severe obstruction type appeared 4 patients with complications,and 2 patients died. Conclusion Appropriate method is important guarantee for the treatment of acute biliary pancreatitis. For the mild of acute biliary pancreatitis patients, non-operative therapy is the main method. For the severe of acute biliary pancreatitis patients, delayed surgery and conservative treatment are the main method.
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