【摘要】 目的探讨重症急性胰腺炎的治疗方案。方法回顾性分析71例重症急性胰腺炎患者的临床资料,其中非手术治疗26例(36.6%),手术治疗45例(63.4%)。结果治愈61例(85.9%),死亡10例(14.1%)。非手术治疗26例,死亡3例(11.5%),手术治疗45例,死亡7例(15.6%)。早期手术25例,死亡4例(16.0%);延期手术20例,死亡3例(15.0%)。结论根据患者具体病情,采用综合性治疗方案,适时选择恰当的手术治疗,是提高临床治愈率、降低并发症和病死率的重要措施。更多还原

【Abstract】 Objective To summarize the therapeutic schedules for severe acute pancreatitis(SAP).Methods The medical records of 71 SAP patients were reviewed.Among them,45 cases were treated surgically,26 nonsurgically.Results In this series,10 patients died with a mortality of 14.1%.The surgical cure rate was 63.4%(45/71) and the mortality was 15.6%(7/45).The nonsurgical cure rate was 36.6%(26/71) and the mortality was 11.5%(3/26).25 cases were given early surgery,and 4 died with a mortality of 16.0%,and 20 received postponed operation,3 died with a mortality of 15.0%.Conclusion A comprehensive treatment program and a timely choice of appropriate surgical treatment according to every patients′ specific conditions is an important measure to improve clinical cure rate and reduce complications and mortality of SAP.更多还原