【摘要】 目的 探讨重症急性胰腺炎(SAP)的早期合理治疗方法。方法 回顾分析30年来我院住院治疗的160例SAP病人的不同治疗方法，将所有病例按病人是否在发病后10天内施行手术治疗分为手术治疗组(n=79)与非手术治疗组(n=81)，收集两组的平均病程、并发症发生率及死亡率进行统计分析。结果 非手术组其平均病程及死亡率显著低于手术组(P值分别为<0.01及<0.05)，而并发症发生率二者差异无显著性(P>0.05)。结论 在SAP的早期，应采取非手术治疗为主，在非手术治疗的同时，应严密观察病情变化，若发现手术指征，应及时手术。

    【关键词】 重症急性胰腺炎；治疗

    Study on the early treatment of acute severe pancreatitis

    WANG Xiao-bing.Yubei People’s Hospital, Chongqing 401120, China

    【Abstract】 Objective To study the reasonable early treatment of acute severe pancreatitis(SAP). Methods One hundred and sixty cases of SAP were studied during the past 30 years(from 1976 to 2006). Comparison was made between 79 cases who were treated by early operation and 81 cases who were treated non-operatively in the mean hospital stay, the incidence of complication and the mortality. Results The mean hospital stay and the mortality rate in non-operative group were fewer than operative group(P<0.01 and <0.05), while the complications in two groups have no differences(P>0.05).Conclusion In the earlier stage of SAP, the treatment should be non-operation, meanwhile, the patient should observed carefully, as soon as the indications of operation were found, an operation should be performed in time. ......