创伤性重症急性胰腺炎早期手术与非手术治疗时机选择的临床研究

目的 探讨创伤性重症急性胰腺炎患者的手术治疗与非手术治疗疗效.方法 回顾分析36例创伤性重症急性胰腺炎患者的临床资料.结果 36例创伤性重症急性胰腺炎患者手术组21例,死亡2例,病死率为9.52%,非手术组15例,死亡5例,病死率为33.33%,非手术组病死率高于手术组,有统计学差异(P＜0.05).结论 对必须手术治疗的创伤性重症急性胰腺炎,及时手术就能够明显提高创伤性重症急性胰腺炎的治愈率.

Early surgical treatment versus non-surgical treatment in patients with traumatic severe acute pancreatitis

Objective To analyze and compare thh effect of early surgical treatment and nonsurgical treatment for patients with traumatic severe acute pancreatitis.M~ethods The curative effect,surgical procedures and mortality data in 36 cases were retrospectively analyzed.ResUlts Compared with nonsurgieal treatment,early surgical treatment was associated with a significantly lower incidence of mortality,and with a highter cure rate (9.52% vs 33.33% ,P ＜ 0.05).Conclusion For traumatic severe acute pancreatitis,early operative management should be selected routinely as the first choice of treatment.