急性坏死性胰腺炎36例诊治体会

目的探讨急性坏死性胰腺炎的合理治疗策略。方法以病史、症状、体征、B超和CT扫描等方法进行明确诊断。以剖腹探查手术清除腹内炎性液体和胰腺坏死组织,并以非手术辅助治疗（禁食水、胃肠减压、解痉剂应用、电解质维持、抗生素应用）等方法保证患者顺利康复。结果36例急性坏死性胰腺炎患者,治愈33例（91.7%）,死亡3例（8.3%）,效果良好。结论确诊急性坏死性胰腺炎,B超和CT扫描是极其重要的手段。手术治疗是抢救此病的重要措施。

Treatment of 36 cases of acute hemorrhagic necrotizing pancreatitis

Objective To investigate the diagnosis and treatment of acute hemorrhagic necrotizing pancreatitis. Methods Diagnosis of patients with acute necrotic pancreatitis （ ANP ） was confirmed by case history, clinical symptoms and features, type-B uhrason ography and CT. ANP was treated by operative procedure to clear the inflammatory liquid and pancreatic necrosis and by non-operative therapy which included absolute water fasting, gastrointestinal decompression, spasmolyant injection, electrolyte balance and antibiotics application. Results 33 cases（91.7% ） healed and 3 cases（8.3% ）died in 36 cases of acute hemorrhagic necrotizing pancreatitis. Conclusion Application of B-ultrasonography and CT could exactly diagnose ANP, and operation is an effective means for ANP.