【摘要】 目的 探讨重症急性胰腺炎的外科治疗经验。方法 回顾性分析和总结1994～2003年收治的57例重症急性胰腺炎病人的治疗及预后。结果 手术治疗20例，13例痊愈，3例形成假性胰腺囊肿，4例死亡，病死率20%。非手术治疗37例，24例痊愈，5例形成假性胰腺囊肿，8例死亡，病死率22%。病死率在手术组与非手术组之间差异无显著性(P>0.05)。而在组内不同分级之间差异有非常显著性(P<0.01)。结论 重症急性胰腺炎治疗方法不完全相同。多器官功能障碍综合征是重症急性胰腺炎的主要死因，控制多器官功能障碍综合征是降低重症急性胰腺炎病死率的关键。

    【关键词】 重症急性胰腺炎；多器官功能障碍综合征

    Surgery treatment of severe acute pancreatitis

    LONG Zai-feng,HU Li-qiang,DING Ding-quan,et al.

    The Seventh Hospital of Changsha,Changsha 410001,China

    【Abstract】 Objective To discuss the therapeutic measure of severe acute pancreatitis(SAP).Methods Retrospectively analysed the therapeutic result of 57 cases of severe acute pancreatitis between 1994 and 2003.Results There were 20 cases of severe acute pancreatitis performed operation.3 cases of the 20 cases formed pancreatic pseudocyst.4 cases of the 20 cases died.The mortality was 20%,and 37 cases of severe acute pancreatitis were managed by nonoperative methods.5 cases of the 20 cases formed pancreatic pseudocyst.8 cases of the 37 cases died.The mortality was 22%.Compared with two groups,the mortality had no significant difference (P>0.05).But in the group the mortality had significant difference (P<0.01).Conclusion The treatment of SAP are not sameness.MODS is the leading cause of death in SAP,controlling MODS are the keys to the decrease of the mortality of SAP. ......