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目的:探讨急诊经内镜逆行胰胆管造影(ERCP)在治疗老年人急性胆源性胰腺炎(ABP)中的可应用性及安全性。方法:收集2004年1月到2009年10月老年人急性胆源性胰腺炎21例,在常规处理的基础上,于48h内行急诊ERCP治疗。监测血淀粉酶水平、血常规,同时观察腹部体征、体温、大便情况。结果:该组21例ABP者,其中18例发现有胆总管结石,16例经EST后均顺利取出结石。本组病例未发生严重并发症,术后恢复顺利。结论:急诊ERCP治疗老年人急性胆源性胰腺炎的效果较好。
Objective: To investigate the applicability and safety of emergency endoscopic retrograde cholangiopancreatography (ERCP) in the treatment of acute biliary pancreatitis (ABP) in the elderly. Methods: 21 cases of acute biliary pancreatitis in the elderly from January 2004 to October 2009 were collected. Emergency treatment of ERCP was performed within 48 hours on the basis of routine treatment. Blood amylase level monitoring, blood routine, while observing abdominal signs, body temperature, stool conditions. Results: 21 cases of ABP in this group, of which 18 cases found common bile duct stones, 16 cases were successfully removed stones after EST. No serious complications in this group of patients, postoperative recovery was smooth. Conclusion: Emergency ERCP is effective in treating acute biliary pancreatitis in the elderly.