重症急性胰腺炎早期手术指征的探讨

目的：探讨重症急性胰腺炎患者早期手术指征。方法：回顾性分析1996—2001年收治的46例重症急性胰腺炎患者的临床资料；其中，非手术治疗9例，早期手术治疗25例，延期手术治疗12例。结果：非手术组病死率和并发症发生率均为11．1％，早期手术组病死率和并发症发生率分别为4．0％和16．0％，延期手术组病死率和并发症发生率分别为33．3％和41．7％，三组病死率差异有显著性(P＜0．05)，但并发症发生率差异无显著性(P＞0．05)。结论：早期手术对某些置症急性胰腺炎患者仍是必需的；经短期治疗后，腹胀未明显改善或有加剧，应考虑手术。

Indication of early operation for severe acute pancreatitis

Objective:To investigate the indication of early operation for severe acute pancreatitis.Methods:Forty six cases of severe acute pancreatitis were analyzed retrospectively.Nine cases were treated conservatively,25 cases were performed early operations and 12 cases underwent delayed operations.Results:The mortality and the occurrence rate of complications in the conservative treatment group were both 11.1%,while they were 4.0 % and 16.0% in the early operation group,and 33.3% and 41.7% in those receiving surgery on late stage respectively.Among the three groups,patients undergoing early operations had a significantly lower mortality than the other two groups( P <0.05),but the difference in the occurrence of complications was not significant( P >0.05).Conclusions:Early operation is necessary for some of patients with severe acute pancreatitis whose abdominal distension is not relieved or even aggravates by short term regular treatment. [