摘要
目的 :分析 4例腹腔镜胆囊切除 (L aparoscopic cholecystectomy,L C)术后并发的急性胰腺炎的原因 ,并提出预防措施。方法 :对 3576例 L C术后并发的 4例急性胰腺炎逐一进行介绍 ,就其原因、发病机理及处理、预后情况进行分析。结果 :4例均行剖腹手术 ,术后配合其他治疗 ,死亡 2例。与该并发症的相关因素 :1早期的缺乏经验。 2胆液外漏、胆石掉出。结论 :L C术后并发的急性胰腺炎国内、外文献少见报道 ,一旦发生 ,则预后较差 ,腔镜医师应高度重视。
Objective:[WT5BZ]To analyse the causes that 4 patients had acute cancreatitis during undergoing laparoscopic cholecystectomy(LC) and advance brevent measures.[WT5HZ]Method:[WT5BZ]To brief 4 patients who had acute pancreatitis during undergoing LC among 3576 cases and analyse the cause,pathogeny,treatment and condition of prognoses.[WT5HZ]Results:[WT5BZ]4 cases performed other celiotomy after undergoing LC,they were given other treatment and 2 cases were death in this group.They were factors in causing acute pancreatitis.First factor was lack experiences.Second factor was leakage of bile and drop of gallstone.[WT5HZ]Conclusion:[WT5BZ]It was rarely reported by internal and external document.Once it occurs ,prognoses would be relatively poor.Doctors of operating abdominoscope should attach great importance of the matter. [WT5HZ]
出处
《河北医学》
CAS
2000年第11期975-977,共3页
Hebei Medicine
