重症急性胰腺炎86例临床治疗分析

目的探讨重症急性胰腺的治疗方案，以提高治愈率。方法回顾性分析86例重症急性胰腺炎病例的临床资料，其中非手术治疗38例（46．1％），手术治疗48例（53．9％）。结果治愈71例（82．6oA），死亡15例（17．4％）。其中非手术治疗治愈率89．5％，病死率10．5％；手术治疗治愈率77．1％，病死率22．9oA。结论重症急性胰腺炎病死率高，治疗时采用个体化治疗方案，实施综合治疗措施．对提高治愈率具有重要意义。

Clinical treatment of 86 cases of severe acute pancreatitis

Objective To summarize the treating scheme of severe acute pancreatitis.Methods The medical records of 86 patients with severe acute pancreatitis were reviewed. Among them, 48 cases were treated surgically,38 were treated nonsurgically .Results In this series, 15 patients died with the mortality of 17.4%.The surgical cure rate was 77.1%(37/48) and the mortality was 22.9%(11/48).The nonsurgical cure rate was 89.5%(34/48) and the mortality was 10.5%(11/48).Conclusion In order to ameliorate the cure rate of severe acute pancreatitis, it is important to adopt individual treating scheme and combined therapy.