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急性重症胰腺炎外科治疗临床体会
引用本文:胡泽民,陆伟,余元龙,常晓健. 急性重症胰腺炎外科治疗临床体会[J]. 肝胆外科杂志, 2001, 9(3): 176-178
作者姓名:胡泽民  陆伟  余元龙  常晓健
作者单位:广东省中山市人民医院普外一科!中山528403
摘    要:目的 总结1990年1月-2000年8月期间本科收治的49例急性重症胰腺炎(SAP),以探讨其合理的治疗方法。方法 非手术治疗14例,均为非胆源性ASP,手术治疗35例,其中胆源性ASP13例。结果 非手术治疗14例,全部治愈,手术治疗35例,治愈31例,死亡4例。并发症及死亡均以ARDS为主。结论 围手术期的基本治疗及并发症的预防是ASP治疗成功的关键,重视早期ASP的非手术治疗。

关 键 词:急性重症胰腺炎  外科  手术  非手术治疗
文章编号:1006-4761(2001)03-0176-03
修稿时间:2000-09-14

EXPERIENCE OF SURGICAL TREATMENT OF ACUTE SEVERE PANCREATITIS
Hu Zeming,Lu Wei,Yu Yuanlong,Shang Xiaojiang. First. EXPERIENCE OF SURGICAL TREATMENT OF ACUTE SEVERE PANCREATITIS[J]. Journal of Hepatobiliary Surgery, 2001, 9(3): 176-178
Authors:Hu Zeming  Lu Wei  Yu Yuanlong  Shang Xiaojiang. First
Affiliation:Hu Zeming,Lu Wei,Yu Yuanlong,Shang Xiaojiang. First Department of General Surgery,Peoples Hospital of Zhongshan City,Zhongshan 528403
Abstract:Objective To evaluate the selection of surgical therapy for acute severe pancreatitis(ASP).Methods 14 patients in non-operative group were nonbiliary ASP.Among 35 patients in operative group,13 caese were biliary ASP.Results In non-operative group,14 cases were cured,in operative group,31 cases were cured,4 cases died.Adult respiratory distress syndrome(ARDS) was a common complication and the major lethal factors.Conclusion We emphasized that non-operative therapy for ASP during the early phase,basis therapy and preventing complication are the key factors for successful therapy.
Keywords:Acute severe pancreatitis  Operation  Non-operative treatment
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