重症急性胰腺炎18例外科治疗分析

目的探讨改善重症急性胰腺炎的治疗方法,提高治愈率及降低病死率的外科治疗策略。方法回顾性分析1998年～2006年18例患者的治疗经验。结果18例中治愈16例,死亡2例,非手术治疗14例,手术治疗4例。结论重症急性胰腺炎的早期应尽可能采取积极非手术治疗,但在发现有胰周严重感染或胆管梗阻情况下须及时手术。手术方式以简便而保证充分引流、减压为目的。

Surgical treatment for severe acute pancreatitis: a report of 18 cases

Objective To study surgical tactics for severe acute pancreatitis(SAP)to increase the cure and reduce the mortality.Methods A retrospective study was made basing on the clinical data of 18 patients with SAP from 1998 to 2006.Results 16 out of 18 patients were cured and 2 died.14 cases were treated by non-operation.4 patients were treated by operation.Conclusions Patients should be treated by non-opreation as soon as possible in the early stage of SAP.But when finding the serious infection around pancreas and obstruction of biliary tract,the operation should be done in time.The key of surgical operation is to ensure enough drainage and decrease the pressure.