Analysis Of The Diagnosis And Treatment Of Acute Biliary Pancreatitis

Objective: To investigate the Acute biliary pancreatitis (ABP) clinicaltreatment and effect.Methods: A retrospective analysis of34cases of acute biliarypancreatitis(ABP)clinical data in patients. Where the incidence ofgallstone original18cases,7cases of common bile duct stones, gallstonesand common bile duct stones in5cases, no gallbladder and bile ductstones but Common bile duct dilation performance4cases; Mild acutepancreatitis and11cases,23cases of severe acute pancreatitis.34caseswere treated conservatively, while the implementation of an early invasivetreatment. Which percutaneous transhepatic biliary drainage15cases(PTCD),10cases of gallbladder puncture and drainage,percutaneousdrainage of pancreatic+gallbladder puncture1case, Percutaneousperipancreatic drainage+PTCD4case;3cases (8.82%) after theimplementation of the above treatment without remission emergencysurgery(gallbladder removal+Common bile duct exploration+T-tubedrainage of pancreatic necrotic tissue dissection1case, gallbladderremoval+Common bile duct exploration+T-tube drainage++pancreaticdebridement of necrotic tissue and drainage of peripancreatic abdominaldecompression surgery+2cases);Results:3cases of emergency surgery patients,2patients were curedwithout recurrence ABP,1case of death;26cases (76.47%) undergoingelective surgery (cholecystectomy in18cases, the common bile duct cut+gallbladder removal+T tube drainage8cases), during follow-up, no ABPattack again;4cases (11.76%) patients without underwent surgery, duringfollow-up, in no ABP4cases with exacerbating again; One patient afterminimally invasive treatment (PTCD) during hospitalization death withoutsurgery, Full set of concurrent cardiac dysfunction in15cases (44.12%),renal dysfunction in11patients (32.35%), liver damage in12cases(35.29%), acute lung infection in9cases (26.47%). Cured32cases(94.12%),2cases (5.8%) died.Conclusion: Regular checking colour to exceed in patients with epigastricpain and/or CT, blood in urine amylase is helpful to early diagnosis ofABP，Treatment for ABP should be individualized treatment according to the different causes and disease stage，Early ERCP, ultrasound guidedpercutaneous hepatic duct or gallbladder puncture drainage orperipancreatic drainage can significantly improve curative effect...