【摘要】 目的探讨重症急性胰腺炎(SAP)手术时机与术后并发症的关系。方法对144例SAP患者(包括早期手术组68例和延期手术组76例)术后并发症发生率进行分析。结果早期手术组和延期手术组腹腔感染发生率分别为79.41%和19.74%,多器官功能障碍综合征(MODS)发生率分别为76.47%和17.11%,绿脓杆菌败血症发生率分别为11.76%和1.32%,胃肠道瘘发生率分别为13.24%和2.63%,腹腔大出血发生率分别为7.35%和0。以上并发症发生率两组相比,P均<0.05。结论SAP延期手术较早期手术的术后并发症发生率明显下降。SAP早期应以维护各重要器官功能为中心,在积极抗休克、抗感染及全身营养支持等综合治疗后选择延期手术。更多还原

【Abstract】 Objective To investigate the relationship between operation time and postoperative complications in severe acute pancreatitis (SAP). Methods 144 cases of SAP operations operation time and postoperative complications rate after the operation were analyzed. Results The abdominal infection rates of early operations and postponed operations were 79.41% and 19.74% , multiple organ dysfunction (MOD) rates were 76.47% and 17.11%, aeruginous bacillus septicemia rates were 11.76% and 1.32%, gastrointestinal fistula rates were 13.24% and 2.63%, abdominal cavity hemorrhea rates were 7.35% and 0, respectively ( P <0.05). Conclusion Compared with early operations, the postoperative complications rates of SAP postponed operation decreased. Early maintain major organs function, antishock, antiinfection and nutritional support must be done in treatment of SAP.更多还原