急性重症胰腺炎的临床治疗分析

目的 观察非手术治疗重症急性胰腺炎的临床疗效,以利于临床更好地推广应用.方法 对2004年1月至2011年1月期间住院的急性胰腺炎患者84例作回顾性分析,总结其临床特点,诊断方法 .结果 50例患者在治疗中,非手术治疗患者70例,治愈44例、有效14例,死亡12例;手术治疗患者14例,治愈7例、有效4例、死亡3例.死亡主要原因是ARDS、MOF.结论 对于急性重症胰腺炎患者,应根据患者的具体病情,从主要病因、病程出发,适时把握好非手术和手术的治疗时机,提高急性重症胰腺炎的治愈率,降低病死率,减少并发症持续的时间.

Clinical therapy analysis of acute severe pancreatitis

Objective To observe the non operation treatment for severe acute pancreatitis clinical curative effect,in order to better clinical application.Methods From January 2011 to 2004 January,during a hospital stay of the patients with acute pancreatitis in 84 cases were retrospectively analyzed,summarized its clinical features,diagnostic methods.Results 50 cases of patients in the treatment of non operation therapy,70 cases,44 cases were cured,14 effective cases,12 cases died of operation.In 14 patients of operation,7 cases were cured,4 effective cases,3 cases of death.The main cause of death was ARDS,MOF.Conclusion For patients with acute severe pancreatitis,patients should be based on the specific condition,from the main etiology,course,timely grasp the operation and non operation treatment for severe acute pancreatitis,improve the cure rate,decrease the mortality rate,decrease the complications duration.