急性胰腺炎的依治现状

目的 介绍急性胰腺炎（AP）诊断与治疗的近视。方法 参阅本期有关来稿结合作者专业知识和临床经验予以小结。结果及结论 AP病理变化多端，在分型上有轻、重二型。轻型占90%，可行非手术治疗：重型占10%，常因胰腺坏死合并感染需行手术治疗。但有一个原则“不早作不大作”。在诊治方法上均有进展。因此提高了AP治愈率。但在广大基层医院常因某些原因还不能按全国统一规范实行，基层医院在治疗上应用中草药也有效果。故总结有4条经验，即早期诊断，区别轻重程度，提高疗效；合理治疗，缩短疗程；并发症的预防和中西医药的结合治疗，这是目前我国诊治AP的现状。

Current status in diagnosis and treatment of acute pancreatitis

Objective To introduce the current status of the diagnosis and treatment of acute pancreatitis (AP). Methods With the reference of relevent articles issued in this periodical, the summary was mad on author's professinal knowledge and special clinical experience. Results and conclusions The pathology of AP is varied. The staging of AP is divided into mild type and severe type. 90% of patients with AP take a mild course and clinical improvement can be achieved by non operative therapy; meanwhile the other 10% of patients of AP take a severity course and operation is necessary when the patients complicated with infection. Operation principle: the timing is not to be early and the procedure is not to be large. New advance had been made in the diagnosis and treatment of AP, which has improved the curative rate and reduced the mortality. For some causes, nation standard of diagnosis and treatment of AP could not been performed in many primary hospitals. It is effective for primary hospital to treat AP with Chinese medicine. The author provides four items in experience: early diagnosis, distinguishing the staging of AP(mild or severe) and improving curative effect; reducing course of treatment; preventing complicantions; and combining Chinese medicine with west medicine for AP. This is the current status of diagnosis and treatment of AP in China.