Acute Gallstone Pancreatitis Quick Rehabilitation Explore-Analysis Of62Cases

Acute pancreatitis(AP) is common in general surgery with acuteabdomen，common in young adults，although the pathogenesis is stillnot completely clear explanation, but in recent years the researchdata shows, its main cause is due to various factors pancreatic ductobstruction, pancreatic duct pressure suddenly increased,pancreatic blood lymph circulation disorders caused by pancreaticdigestive enzymes to digest its own an acute inflammation. Biliaryobstruction, alcohol, pancreatic blood supply and circulationdisorders, trauma, infection, and are risk factors. With thedevelopment of medical technology and health awareness, theincidence of acute pancreatitis declined, but there are still20%-30%of the further development of severe acute pancreatitis(SAP),leaving the AP’s overall mortality is still up to5%-10%. In thetype of acute pancreatitis, acute gallstone pancreatitis (ABP)accounted for about55%of all patients with pancreatitis; thefatality rate is up to20%, even up to50%of patients associatedwith complications.The mechanism of ABP “common channel theory” and “gallstone through the doctrine” of the most famous and most agree. ABPetiology of most common billiard stones，ABP occurred reason is thatstones caused by biliary obstruction, bile reflux into thepancreatic duct, leading to increased intraductal pressure. Soto remove the obstruction and reduce pancreatic duct pressure isthe main measures for mitigation and treatment of acutepancreatitis, however, the timing for surgery to remove theobstruction is still no unified conclusion.Clinical observations indicate that, in some ABP patientsimaging studies, exploratory surgery, the postoperative pathologyas well as feces not found stones，the choice of timing of surgerysignificantly different. This article by the observation of theclinical data collected, investigate pathological process of ABPoccurred and contrast the differences of the different timing ofsurgery on clinical observations and prognosis of rehabilitation,highest quality clinical efficacy in the treatment of APB.Observe the timing of surgery in the ABP patients with clinicaldata, monitoring of the two treatments (early surgery and delayedsurgery) preoperative and postoperative the ABP sensitiveindicators of change, by intuitive assessment of tabular data andhistogram. Early surgery group:30patients with ABP emergencylaparoscopic cholecystectomy (LC), without relaying abdomen, after the surgery, various patient targets drop to normal level in a shorttime（The blood amylase down to a normal level of an average of3.70±0.95days typical symptoms alleviating the average3.53±1.01days）, and no other complications，effect of earlyrehabilitation is very well, within a short time quickly recoveredand discharged from hospital.(2) Delayed surgery group:32casesof the ABP patients first conservative treatment, the pancreatitissymptoms improved after LC，but because the inflammation continuesto exist，the blood amylase drops slowly（average6.50±1.19days）,Typical symptoms prolonged(average4.56±1.24days), gallbladderdropsy seeps out heavily in the surgery, Increased operationdifficulties and the risk of bile duct injury, while hospital stayincreased(average20.19±2.72days), also increased patienteconomic burden. Both clinical data for statistical analysis, thedifference has statistical significance (P=0.01<0.05).Through to the observation contrastive analysis discoveriesof62cases of clinical data, acute cholecystitis (regardless ofthe existence of gallbladder stones) inflammation itself can causethe occurrence of acute pancreatitis. For ABP patients earlytreatment，diagnosis clear and exclude other causes of pancreatitis, as well as in cases of bile duct stones，promote early LC，completelycan achieve the fast recovery the treatment result.