急性重症胰腺炎的早期诊断及手术时机选择(附93例报告)

目的 探讨急性重症胰腺炎（SAP）的早期诊断及手术时机的选择。方法 回顾分析1980年-2001年底93例SAP的治疗经验。根据临床表现。实验室检查及CT增强扫描早期明确诊断。然后根据个体情况选择适当的手术时机，部分病人先在腹腔镜下置冲洗引流管再在适当的时候手术治疗。结果 总治愈率80.6%(75/93)。其中置冲洗管引流组的治愈率为88.8%（8/9）。结论 CT检查有助于SAP的早期诊断，适时手术可减少并发症，部分病人先引流冲洗再择期手术治疗的效果较满意。

EARLY DIAGNOSIS AND CHOICE OF OPERATION TIME IN SEVERE ACUTE PANCREATITIS-93 CASES REPORT

Objective To explore the early diagnosis and choice of operation time in severe acute pancreatitis (SAP).Methods 93 patients with severe acute pancreatitis from 1980 to 2001 were retrospectively reviewed.Early diagnosis was established by clinical demonstration,laboratory examination and CT enhanced scan,then proper operation time was determined by individuals condition.Under some circumstances,drainage and wash tubes were placed with the help of laparoscope,followed operation treatments were choiced at proper time.Results The general cure rate was 80.6%(75/95),and the cure rate in the group of the placing wash and drainage tube was 88.8%(8/9).Conclusion CT conduced to early diagnosis of SAP.Operation timely leaded to reduce complication,the results of operation treatment after drainage and wash were relatively satisfactorily.