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在急性胰腺炎病人中确定是否合并胆石症,对于指导进一步治疗具有重要意义。作者认为对于急性胰腺炎病人的粪便过筛胆石,是一种迅速、简便和可靠的诊断方法。本文对胆石性胰腺炎51例进行了粪便过筛,结果在47例粪便中发现胆石,阳性率为92.1％。另以不伴有急性胰腺炎的胆石症患者51例作对照组,粪便过筛发现胆石者仅有6例,阳性率为11.8％。胆石的发现多在病后10天以内,最早在第3天。在发病后10～35天(平均12.7天)进行了口服胆囊造影检查,28例胆石性胰腺炎中发现有胆石者27例(96.4％);19例胆石性胰腺炎因黄疸、复发性胰腺炎、胆囊已切除和妊娠而没有进行胆囊造影,但经过筛粪便,发现其中18
In patients with acute pancreatitis to determine whether the merger cholelithiasis, for the guidance of further treatment of great significance. The authors believe it is a quick, easy and reliable method for screening gallstones in the stool of patients with acute pancreatitis. In this paper, 51 cases of gallstone pancreatitis were stool screening, the results found in 47 cases of stool gallstones, the positive rate was 92.1%. The other 51 patients with cholelithiasis without acute pancreatitis served as the control group. There were only 6 cases of gallstone found by fecal screening, the positive rate was 11.8%. Gallstone found more than 10 days after the illness, the earliest in the first 3 days. Oral cholecystography was performed 10 to 35 days after onset (mean, 12.7 days), of which 27 (96.4%) were found in 28 cases of gallstone pancreatitis and 19 cases of gallstone pancreatitis due to jaundice, recurrent pancreatitis , Gallbladder has been removed and pregnancy without gallbladder angiography, but after screening stool, found that 18