重症急性胰腺炎早期治疗的探讨及分析

目的 探讨重症急性胰腺炎（SAP）早期治疗体会及外科手术治疗时机和手术方式的选择。方法 对比分析1989—1995年以早期手术为主的36例SAP（A组）与1996—2003年7年中非手术治疗为主的44例SAP（B组）的治愈率和死亡率。结果 B组的死亡率明显低于A组，A组的治愈率低于B组。结论 SAP早期的急性炎症反应期，手术只能加重对机体的打击，加重SAP全身炎症反应，增加手术死亡率。故SAP早期治疗应以非手术疗法为主。当内科治疗无效，手术治疗是唯一的选择，而手术时机的掌握和手术方式的选择更为重要，直接影响手术结果。

Research of early treatment of severe acute pancreatitis

Objective To sum up experience of the early treatment of SAP and the choices of the time and methods of surgical operations. Methods Contrastively analyse the percentage of the recovery cases and death cases between group A,which included 36 cases of SAP with the main method of early surgical operation treatment from 1989 to 1995 ,and group B,which included 44 cases of SAP with the main method of non- operation treatment from 1996 to 2003. Results The percentage of the death cases of SAP of group B is obviously lower than that of group A. The percentage of the recovery cases of SAP of group A is lower than group B. Conclusion In the early period of SAP, surgeries can only aggravate organism and inflammation, thus, increase the death percentage of SAP cases. So the early treatment of SAP should base on non - operation treatment. When internal medical treatments are of no effect and surgery is the only choice, the choice of the time and the methods of the operation is quite important. It affects the result of the operations directly.