重症急性胰腺炎早期非手术治疗的再认识

目的 :探讨重症急性胰腺炎早期治疗方法的选择。方法 :对 1992年 1月～ 2 0 0 0年 12月 80例急性重症胰腺炎分别采用早期手术治疗和早期非手术治疗两种方法进行回顾性分析 ,并对死亡率及主要并发症进行总结。结果 :1992年 1月～ 1994年 12月的 2 9例采用早期手术治疗 ,死亡率和并发症发生率分别为 5 5 .2 %和 93.1% ,1995年 1月～ 2 0 0 0年 12月 5 1例采用早期非手术治疗 ,死亡率和并发症发生率为 2 3.5 %和 5 1.0 %。两组比较差异有显著性(P<0 .0 1)。结论 :急性重症胰腺炎采用早期非手术治疗能有效降低死亡率和并发症发生率 ,值得在临床实践中积极推广。

Re-analysis of nonoperative treatment for servere acute pancreatitis in carly stage in 51 patients

Objective:To discuss the choice of treatment of servere acute pancreatitis in early stage.Methods:From 1992 to 2000,the 80 patients of severe acute pancreatitis were treatment with operation and nonoperativemethod respectively in the early period,and analsyse the mortality rate and main complications.Results:From 1992 to 1994,the 29 cases were treatment with operation,and the mortality and the rate of occurrence of complcations were 55.2 percent and 93.1 percent respectively.From 1995 to 2000,the 51 cases were treatment with nonoperativemethod,and the mortality and the rate of occurrence complication were 23.5 percent and 51.0 percent respectively.There was comparative difference between two groups( P <0.01).Conclusion:It is effective to treatment with early nonoperativemethod in the cases with severe acute pancreatitis.We find the mortality and the rate of occurrence of complication is lower.