小儿急性重症胰腺炎11例的外科治疗

为了提高对儿童重症胰腺炎的诊治水平，对１１例经手术证实为小儿重症胰腺炎者进行分析，结果发现１９８６年以前以单纯腹腔引流为主治疗４例，病死率５０％；１９８６年以后以腹腔灌洗，胰床广泛切开，多管引流等综合措施为主治疗７例，病死率１４．３×。早期手术，胰床广泛切开，术后加用腹腔灌洗，彻底引流，营养支持以及及时进行重症监护等综合措施，对改善重症胰腺炎的疗效具有重要作用。

Surgical Treatment of Severe Acute Pancreatitis:A Report of 11 Case

Eleven children with severe acute pancreatitis confirmed by operation were analysed.The mortality was 50% in 4 cases treated with simple drainage before 1986.Since then, 7 cases were given extensive pancreatotomy,peritoneal lavage with thorough drainage,the mortality decreased to 14,30%,It in suggested that early pancreatotomy,peritoneal lavage,prompt intensive care and nutritional support be important to the treatment for severe acute pasncreatitis