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近10年来对急性胰腺炎的了解已有了相当的进展,然而这并未能使病人的存活期延长,尽管有了许多支持治疗,其死亡率仍保持在10％左右。感染已成为急性胰腺炎存活的决定因素,80％的死亡是由于感染造成的。因此要降低急性胰腺炎的死亡率,必须把重点放在感染的处理上。妨碍急性胰腺炎治疗进展的一个重要原因是缺乏对胰腺感染临床表现的统一定义。尽管从1963年至1984年,召开了多次国际会议,对胰腺炎的定义作了讨论与规定,但尚有很多问题有待解决,如对胰腺坏死,坏死感染,液化与脓肿的形成、演变过程没有作出定义。作者最近复习了112篇文章,发现只有10个作者提供了胰腺脓肿的定义,却没有二个是相同的。
There has been considerable progress in the understanding of acute pancreatitis in the past 10 years, however, this has not led to prolongation of the patient’s survival despite the substantial supportive treatment and its mortality remains at around 10%. Infection has become a determinant of the survival of acute pancreatitis, 80% of deaths are due to infection. Therefore, to reduce the mortality rate of acute pancreatitis, we must focus on the treatment of infection. An important reason that hinders progress in the treatment of acute pancreatitis is the lack of a uniform definition of the clinical manifestations of pancreatic infection. Although many international conferences were held from 1963 to 1984 to discuss and define the definition of pancreatitis, there are still many problems to be solved, such as pancreatic necrosis, necrosis, liquefaction and abscess formation, evolution No definition. The authors recently reviewed 112 articles and found that only 10 authors provided a definition of pancreatic abscess, but none of them were the same.