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重症急性胰腺炎的治疗及临床分析

The Treatment and Clinical Analysis of Severe Acute Pancreatitis

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【作者】 陈英杰陈运立林鹏州

【Author】 CHEN Ying-jie,CHEN Yun-li,LIN Peng-zhou(The First Affiliated Hospital of Shantou University Medical College,Guangdong Shantou 515041,China)

【机构】 汕头大学医学院第一附属医院

【摘要】 目的:探讨重症急性胰腺炎的合理治疗方案。方法:收集1998年6月至2008年6月经我院收治的120例重症急性胰腺炎病例,并对治疗方案与治疗效果进行回顾性分析。结果:总并发症发生率43.3%(52/120),总病死率19.2%(23/120),总治愈率80.8%(97/120),并发症发生率:保守治疗组为42.4%(28/66),外科手术治疗组为44.4%(24/54),P>0.05;病死率:保守治疗组19.7%(13/66),外科手术治疗组为18.5%(10/54),P>0.05;治愈率:保守治疗组为80.3%(53/66)。外科手术组为81.5%(44/54),P>0.05。结论:正确地把握重症急性胰腺炎的治疗时机与指征,合理选择治疗方式,对于决定重症急性胰腺炎的预后至关重要。

【Abstract】 Objective: To study the reasonable treatment of severe acute pancreatitis.Method: We collected 120 severe acute pancreatitis in our hospital from June 1998 to June 2008.And retrospectively analyzed the results of treatment program and treatment effect.Result: The total complication rate was 43.3%(52/120);the total mortality rate was 19.2%(23/120);the total cure rate was 80.8%(97/120).Complication rate: conservative treatment group was 19.7%(13/66),surgical treatment group was 18.5%(10/54),P>0.05;Mortality rate: conservative treatment group was 30.3%(20/66),surgical treatment group was 27.8%(15/54),P>0.05.Cure rate: conservative treatment group was 80.3%(53/66),surgical group was 81.5%(44/54),P>0.05.Conclusion: To grasp the timing and indications correctly for treatment of severe acute pancreatitis and a reasonable choice of treatment is very crucial for determining the prognosis of severe acute pancreatitis.

  • 【分类号】R576
  • 【被引频次】7
  • 【下载频次】89
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