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外科手术治疗急性重症胰腺炎30例临床观察
引用本文:周凤鸣,尤建川,彭庆第,曾令雄,杨国成,何斌.外科手术治疗急性重症胰腺炎30例临床观察[J].吉林医学,2008,29(21):1868-1869.
作者姓名:周凤鸣  尤建川  彭庆第  曾令雄  杨国成  何斌
作者单位:四川省达州市中心医院急诊外,四川达州635000
摘    要:目的:观察外科手术治疗急性重症胰腺炎的临床效果。方法:对2006年6月~2008年5月收治的30例SAP患者按治疗时期分为早期手术组和延期手术组,两组均先给予基础外科治疗后,行手术治疗。结果:30例总并发症发生率40.0%,总病死率16.7%,总治愈率83.3%。两组组并发症发生率分别为38.9%和41.7%,差异无统计学意义,P〉0.05。两组病死率与治愈率分别为22.2%和8.3%;治愈率分别为77.8%和91.7%,两组相比差异有统计学意义,P〈0.05。结论:外科手术是治疗急性重症胰腺炎较为有效方法之一。

关 键 词:急性重症胰腺炎  外科手术  临床分析  治疗方法

Surgical treatment of severe acute pancreatitis
Institution:ZHONG Feng - ruing, YOU Jian - chuan, PENG Qing - di, et al ( The Central Hospital of Dazhou City, Sichuan Province, Dazhou 635000, China)
Abstract:Objective To observe the clinical effects of surgical treatment of severe acute pancreatitis(SAP).Method Thirty cases with SAP were divided into the early surgery group and the delayed operation group according to treatment period from June 2006 to May 2008.The two groups were given basic surgical treatment first,then the surgical treatment.Results The total complication rate was 40.0%,the total mortality was 16.7%,and the cure rate was 83.3%.The complication rate of the two groups were 38.9% and 41.7%,respectively,and showed no significant difference(P>0.05).The mortality were 22.2% and 8.3% respectively,the cure rate were 77.8% and 91.7% respectively,and showed significant differences(P<0.05).Conclusion Surgical treatment is a more effective way for SAP.
Keywords:Severe acute pancreatitis  Surgery
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