重症急性胰腺炎的治疗

目的 探讨重症急性胰腺炎（ＳＡＰ）的治疗方法。方法 回顾性分析１０７例ＳＡＰ患者非手术治疗及手术治疗的疗效。结果 １０７例中治愈９８例（９１．６％），死亡９例（８．４％）。８９例采用非手术治疗（其中１６例因并发症行延期手术治疗），其中仅３例１周内死于早期休克，２例２周后死于继发性感染；３４例行手术者（包括１６例延期手术者），４例死于术后并发症。结论 ＳＡＰ早期手术并非完全必要，手术治疗的“个体化”

The treatment of severe acute pancreatitis

Objective To expore the proper treatment of severe acute pancreatitis(SAP). Methods The effect of 107 patients with SAP treated by non operation or operation was retrospectively analysed. Results 98(91.6%) out of 107 cases were cured and 9(8.4%) died. Among 89 cases treated by non operation(including 16 cases undergoing delayed operation owing to the complications of SAP), 3 died of early shock within 1 week, and 2 died of subsequent infection after 2 weeks; 34 cases were treated by early operations, 4 died of postoperative complications. Conclusions Early operation for SAP is not entirely necessary. Both individual plan of operation and possibility of non operation management represent the change of concept in the treatment of SAP.