重症急性胰腺炎67例治疗体会

目的 :探讨重症急性胰腺炎 (SAP)的合理治疗方案。方法 :以1993年前的22例SAP为早期手术治疗组 (A组 ) ,以1993～2001年的45例SAP为早期非手术治疗组 (B组 ) ,比较两组的主要并发症和死亡率。结果 :B组的急性呼吸窘迫综合症、休克、肾衰及死亡率均明显低于A组 (P<0 001) ,死亡原因主要为多器官功能衰竭 (MOSF)。结论 :重症急性胰腺炎的早期非手术治疗明显优于早期手术治疗。在非手术治疗中需注意动态CT监测胰腺坏死范围的变化。

Trentment experience of 67 cases of severe acute pancreatitis

Objective:To explore a proper treatmeng program of severe acute pancreatitis(SAP).Methods:A comparison of the incidence of complication and the mortality was made between group A(22cases of SAP treated by surgery in early stage of SAP before1993)and group B(45cases of SAP treated by non-surgery in early stage of SAP from1993to2001).Results:ARDS,shock,renal failure and mortality in group b were significantly lower than those in group A(all P<0.001).The cause of death were Multiple organ system failure(MOSF).Conclusion:Non_surgery treatment in the early stage of SAP was superior to surgery treatment in the early stage of SAP.In the non-surgery treatment,The dynamic CTwas monitoring changes of the pancreatitic necrotic range.