急性重症胰腺炎的早期治疗

目的 探讨急性重症胰腺炎的早期治疗方法。方法 对240例急性重症胰腺炎资料分别采用早期手术治疗和早期非手术治疗的两种方法进行回顾分析,并对病死率及主要并发症进行总结。结果 136例患者经早期手术治疗,病死率和并发症发生率分别为32.4%和66.9%,104例经早期非手术治疗,病死率和并发症发生率分别为11.5%和19.2%。两组比较差异有显著性（P〈0.01）。结论 对急性重症胰腺炎患者采用早期非手术治疗能降低病死率和并发症发生率。

Early stage treatment of severe acute pancreatitis

AIM To discuss the choice of early stage for servere acute pancreatitis in early stage. METHODS The 240 patients with severe acute pancreatitis were treatment by operation and nonoperative method respectively in the early period, and analsyse the mortality rate and main complications. RESULTS 136 cases were treatment with operation, and the mortality and the rate of occurrence of complcations were 32.4 percent and 66.9 percent respectively. The 104 cases were treatment withnonoperativemethod, and the mortality and the rate of occurrence of complcations were 11.5 percent and 19.2 percent respectively, lt was no obvious difference between two group. CONCLUSION Nonoperative method had a much better efficacy than operative in the treatment of severe acute pancreatitis.