重症急性胰腺炎的综合治疗

目的 探讨重症急性胰腺炎（ＳＡＰ）的合适治疗方法。方法 回顾性总结８８例ＳＡＰ患者的治疗经验。结果 治愈７３例（８２．９５％），死亡１５例（１７％）。非手术组５６４例，死亡７例（１０．９％）；手术组２４例，死亡８例（３３．３３％）（Ｐ〈０．０５）。结论 作者认为非手术治疗可以治愈大部分患者，重点在于维持血液动力学稳定和水电解质及酸碱平衡，营养支持，维持胰外受损器官功能，掏胰液分泌，促进胃肠道功能，

Comprehensive treatment of severe acute pancreatitis

Objective To investigate the optimal treatment for severe acute pancreatitis(SAP). Methods A retrospective study was made on the clinical data of 88 patients with SAP. Results Of 88 cases, 73 were cured(82.95%) and 15 died(17.00%), including 7 died(10.90%) in 64 cases treated without operation and 8(33.33%) died in 24 cases treated with operation( P <0.05). Conclusions Non operative treatment is able to cure the majority of the patients with SPA as long as the steps are taken such as maintaining the hemodynamics, the balance of water electrolytes and acidbase; supplementing nutrition; improving the function of other damaged organs; inhibiting pancreatic secretion; improving function of gastrointestinal tract, and administering antibiotics preventively. However, in case of necrosis of pancreas with severe secondary infection, confirmed obstruction of biliary tract and acute abdomen, operation should be done, but it should be easy to perform and ensure enough drainage and resolve the obstruction of biliary tract.