论文部分内容阅读
目的探讨重症急性胰腺炎(SAP)的治疗方法与疗效。方法总结分析2001年3月至2008年3月间收治的136例重症急性胰腺炎的临床病例资料。结果102例行非手术治疗,死亡8例(7.8%),并发假性囊肿12例(11.8%)。34例行手术治疗,术后死亡8例(23.5%),并发假性囊肿4例(11.8%),腹腔内出血6例(17.6%),胰瘘8例(23.5%),肠瘘2例(5.9%)。结论重症急性胰腺炎以非手术治疗为主的个体化原则,综合治疗效果明显优于早期手术治疗。如果病情加重合并脏器功能障碍、黄染加重、胰周大量积液、高热、疑有胰周或胆道感染者应正确把握重症胰腺炎的外科手术时机,合理选择手术方式对决定重症胰腺炎的预后很重要。
Objective To investigate the treatment and efficacy of severe acute pancreatitis (SAP). Methods The clinical data of 136 patients with severe acute pancreatitis admitted to our hospital from March 2001 to March 2008 were summarized and analyzed. Results 102 cases underwent non-surgical treatment, with 8 deaths (7.8%) and 12 cases (11.8%) with pseudocysts. There were 34 patients (23.5%) died of surgery, 4 (11.8%) had pseudocyst, 6 (17.6%) had intraperitoneal hemorrhage, 8 had pancreatic fistula (23.5%), 2 had intestinal fistula 5.9%). Conclusion Severe acute pancreatitis is a non-surgical treatment based on the principle of individual, the comprehensive treatment was significantly better than the early surgical treatment. If the disease aggravates organ dysfunction, yellow dye aggravate, a large number of peripancreatic fluid, high fever, suspected peripancreas or biliary tract infection should be the correct grasp of the timing of severe pancreatitis surgery, a reasonable choice of surgical approach to determine the severity of pancreatitis The prognosis is very important.