重症急性胰腺炎的早期非手术治疗

目的探讨重症急性胰腺炎 (SAP)的早期非手术治疗。方法分析 1 986-2 0 0 1年收治的SAP1 0 3例的临床资料 ,按各个阶段治疗方法不同分为 2组 :A组 1 986-1 994年以手术治疗为主 5 1例 ,B组 1 995 -2 0 0 1年以非手术治疗为主 5 2例。结果A组死亡率为 3 1 .3 % (1 6/ 5 1 ) ,休克、肾衰、继发感染等并发症发生率为 5 7.9% (2 7/ 5 1 ) ,B组则分别为 7.8% (4 / 5 2 )及 1 3 .6% (7/ 5 2 )。两者相比均有显著性差异 (P <0 .0 1 )。结论早期非手术治疗重症胰腺炎优于手术治疗

Non-Surgical Treatment of Severe Acute Pancreatitis

Objective To explore the effect of the non-surgical treatment of severe acute pancreatitis (SAP) in early stage.Methods The data of 103 cases of SAP from 1986 to 2001 were collected and divided into two groups according to the admission time and treatment procedure.Group A:51 cases admitted from 1986 to 1994,treated mainly by operation.Group B:52 cases admitted from 1995 to 2001,treated mainly by non-surgical procedure.Results The mortality in group A and B were 31.3%(16/51) and 7.8% (4/52),while the incidance rate of complication such as shock,renal failure and secondary infection in group A and B were 57.9%(27/51) and 13.6% (7/52) respectively.The difference in the mortality and complication rate between group A and B showed obvious significance(P<0.01).Conclusion Non-surgical treatment of SAP in early stage is superior to surgical one.