重症急性胰腺炎的内科综合治疗

目的：探讨重症急性胰腺炎有效的内科综合治疗方法。方法：将过去6年内我院收治的重症急性胰腺炎患者的治疗方法进行回顾性分析。结果：使用内科综合治疗方法取得了较好的疗效，使病死率从25％降低到6．7％，缩短了住院时间，减少了医疗费用。结论：重症胰腺炎的内科综合治疗要重视发病早期循环的稳定，加强重症监护，早期足量使用抑制胰腺分泌的药物，及时足量使用激素治疗ARDS、急性肺损伤，早期防治细菌和真菌感染，胆源性胰腺炎要及时行内镜下Oddi括约肌切开术。

Non-surgical treatment for severe acute pancreatitis

Objective:To evaluate the effectiveness of our non surgical strategy of severe acute pancreatitis Methods: In a retrospective review, the efficacy of treatment was evaluated in patients with severe acute pancreatitis, by classifying the treatment into two stages according to the different principles of treatment Results: The mortality rate descended from 25 0% in stage I(Jan,1995 May,1999) to 6 7% in stage II(Jun,1999 Mar,2001) Conclusion: Non operative treatment is able to cure the majority of the patients with SAP as long as the effective steps are taken such as early volume resuscitation, intensive care unit, total parenteral nutrition, early prophylactic antibiotic treatment, sufficient somatostatin and acid inhibitors ERCP and endoscopic sphincterotomy should be performed in severe gallstone pancreatitis