重症急性胰腺炎46例

目的探讨重症急性胰腺炎（SAP）外科手术干预的时机、方式的选择。方法回顾性分析1999年1月至2009年12月我院普外科收治的46例重症胰腺炎的临床资料。结果46例重症急性胰腺炎患者22例非手术治疗，24例手术治疗，总病死率为17．4％（8／4．6），总治愈率为82．6％（38／46），其中非手术组治愈率为77．3％（17／22），手术组治愈率为87．5％（21／24）。结论正确地把握SAP的外科手术时机，合理选择外科手术方式，才能最大程度提高生存率、治愈率，降低死亡率及并发症发生率。

, Clinical analysis of 46 cases of severe acute pancreatitis

Objective To investigate the the timing and indications of surgery for patients with severe acute pancreatitis. Methods The clinical datas of 46 patients with SAP from Jan. 1999 to Dec. 2009 were retrospectively analyzed. Results In this group, 22 cases received non - operative treatment＂ and 24 cases received surgical intervention. The overall mortality and overall curative rate were 17.4% （8/46） ,82.6% （38/46）, respectively. The curative rates in non- operative and in surgical operative group were 77.3 % （17/22）, 87.5 % （21/24）, respectively. Conclusions It＇ s significant to grasp ＂sugery opportunity and indication during the treatment of severe acute pancreatitis, appropriate choice of the time and procedure of surgical intervention can improve survival and cure rate to the greatest extent, and reduce mortality rate and complications of SAP.