早期手术在暴发性急性胰腺炎治疗中的作用

目的探讨早期手术在暴发性急性胰腺炎（FAP）治疗中的作用。方法回顾性分析我院2003年9月至2004年12月收治的8例FAP患者的治疗情况。结果8例患者于人院及治疗过程中发生功能障碍的器官人均个数为3。非手术治疗1例死亡。手术治疗7例，1例死于腹腔室隔综合征合并肾功能衰竭，1例合并32周妊娠者术前胎儿死亡，其母亲存活；另5例术后并发腹腔脓肿经再手术治愈。结论早期手术能防治FAP患者MODS的继续发展，为其后续治疗创造机会，提高生存率。

Early Surgical Intervention in Treatment of Fulminant Acute Pancreatitis

Objective To investigate the role of early surgical intervention in the treatment of fulminant acute pancreatitis (FAP).Methods Eight cases of FAP admitted to our institution from September 2003 to December 2004 were reviewed retrospectively.Results Averagely 3 organs dysfunction was diagnosed on admission or in the course of treatment in this group. One patient treated non-operatively was dead. Of 7 cases with early surgical intervention, one was died of ACS and ARF, One female patient with 32 weeks pregnancy survived, but the fetus was dead before surgery. Five cases were complicated with intra-abdominal abscess, which were cured re-operatively. Conclusion Early operative intervention in the treatment of FAP could prevent MODS and improve the survival.