急性坏死性胰腺炎严重并发症的防治

目的：探讨急性坏死性胰腺炎严重并发症的治疗方法。方法：回顾性分析研究1992-1999年收治的64例急性坏死性胰腺炎严重并发症的详细资料，并计算各并发症的发生率。结果：急性坏死发表胰腺炎严重并发症依次为休克（42.2%）、急性肺损伤（34.4%)、多器官功能障碍（14.1%）、感染性胰腺坏死（10.9%)、败血症（9.2%）、胰瘘（6.3%)、假性囊肿（4.7%）和腹腔内出血（3.1%）。结论：急性坏死性胰腺炎患者的主要死因为多器官功能障碍、败血症、感染性胰腺坏死、急性肺损伤、休克，应采取合理的方法治疗。

Prevention and treatment for severe complication of acute necrotic pancreatitis

Objective: To evaluate the treatment for severe complications caused by acute necrotic pancreatitis (ANP). Methods: From 1992 to 1999, severe complications of 64 cases with ANP were analysed in detail. We calculated the occurring rate for complications of ANP. Results: Severe complications in ANP were shock (42.2%), ALI (acute lung injury) (34.4%), multiple organ dysfunction (MOD) (14.1%), and infection of necrotic pancreas (10.9%), septicemia (9.2%), pancreatic fistula (6.3%), pseudocyst of pancreas (4.7%), and bleeding in abdominal cavity (3.1%). Conclusions: The main causes of their deaths were multiple organ dysfunction, septicemia, and infection of necrotic pancreas, ALI and shock. Severe complications of ANP should be treated with adequate methods.