重症急性胰腺炎外科手术的评估

目的：总结近８年来重症胰腺炎的治疗经验。方法：分非手术和手术二组、二组病人均在ＩＣＵ监护和治疗，分析二组病人治疗后的疗效。结果：手术组３３例，死亡１１例（３２．４％），术后出现各种并发症和器官功能衰竭１５例（４４％），平均住院天数８７天。非手术组２０例，死亡２例（１０％），并发症９例（４５％），平均住院３４天。结论：对ＳＡＰ采用早期外科手术的观点应当改变。外科手术在ＳＡＰ中的指片应是梗阻性胆源性胰

Evaluation of the surgical treatment of severe acute pancreatitis

Objective:To summarize recent eight years experience in the treatment of severe acute pancreatitis.Methods:53 cases were divided into two groups for retrospective analysis. All the cases were observed and treated in ICU.Results: Of 33 operative cases ,11 diee(32.4%) and 15 had post operative complications and functional failure (44%) with mean hospitalization time being 87 days. Of 20 non operative cases ,the above index were 2 (10%),9 cases(45%) and 34 days seperately.Conclusion: The opinion of early surgical operation for SAP should be abandoned, except for the original biliary obstruction and pancreas tissue necrosis complicated by severe infection. The surgical procedure should be simple and efficient drainage in order to reduce the mortality and morbidity .