【摘要】 目的 探讨重症急性胰腺炎的临床特点及有效治疗方法，以提高对重症急性胰腺炎的诊治和管理水平。方法 回顾分析58例重症急性胰腺炎患者的临床资料，并分析其诊治的临床效果。结果 总并发症发生率44.8%(26/58)，总病死率29.3%(17/58)，总治愈率70.7%(41/58)，并发症发生率：保守治疗组为46.9%(15/32)，外科手术治疗组为42.3%(11/26)，P>0.05；病死率：保守治疗组31.3%(10/32)，外科手术治疗组为26.9%(7/26)， P>0.05；治愈率：保守治疗组为71.9%(23/32)。外科手术组为69.2%(18/26)，P>0.05。结论 正确地把握重症急性胰腺炎的治疗时机与指征，合理选择治疗方式，对于决定重症急性胰腺炎的预后至关重要。

    【关键词】 胰腺炎；暴发性胰腺炎；胆源性胰腺炎

    Clinical analysis of severe acute pancreatitis in 58 patients

    ZHI Hui.

    Department of General Surgery,The People's Hospital of Qiannan Autonomous Prefecture for Buyi and Miao Nationalities of Guizhou Provincial,Duyun 558000,China

    【Abstract】 Objective To evaluate the clinical manifestation of severe acute pancreatitis(SAP) in patients and to improve the clinical diagnosis and management in patients with SAP. Methods The clinical data of 58 patients diagnosised as SAP between 1995 and 2006 in Qiannan hospital were retrospectively analyzed, and the treatment outcomes of SAP in 58 patients were observed. Results In this group, overall incidence of comlication, overall mortality and overall curative rate were 44.8%(26/58) ......