非手术治疗重症急性胰腺炎43例体会

目的 探讨重症急性胰腺炎的治疗效果。方法 对比研究了以早期非手术治疗为主的A组（1993－2000年43例）和以早期手术为主的B组（1993年以前21例）患者的并发症和病死率。结果 A组并发症的发生率和病死率明显低于B组（P＜0.01）。结论 重症急生胰腺炎的早期非手术治疗明显优地早期手术治疗。在非手术治疗中需注意CT监测胰腺坏死范围的变化和中转手术指征。

EXPERIENCE OF 43 CASES WITH SEVERE ACUTE PANCREATITIS

Objective To explore a curative effect for patients with SAP.Methods We treated 43 patients with SAP from 1993 to 2000 in group A mainly by nonoperative methods,and 21 patients in group B by early operation before 1993.We compared the occurence of complications(ARDS,renal failure,heart failure,pancreatic abscess,shock)and the mortality between A and B.Results The research results showed that the complicans was lower that in the group A(P<0.01),also the mortality in the group A(4.65)was decreased as compared with that in the group B(23.81).Conculusion For SAP management the nonoperative method was excellent contrasted with early operation(P<0.01).In the cause of the nonoperative treatment The CT monitoring changes of the pancreatic necrotic range the indications of transfer surgery operation.to which attention were paid.