重症急性胰腺炎的诊断与治疗(1)
【摘要】 目的 探讨重症急性胰腺炎(SAP)更为合理的诊治方法。方法 回顾64例重症胰腺炎的临床资料，结合文献分析SAP诊治的临床效果。结果 本组非手术治疗38例，死亡4例，手术治疗26例，死亡3例，总病死率10.94%。结论 SAP的非手术治疗有了显著的进步，需要外科治疗的病例在逐渐减少，但应视患者临床特点制定治疗对策，不可一味追求非手术治疗或手术治疗。【关键词】 重症急性胰腺炎；诊断；治疗
The diagnosis and treatmentof severe acute pancreatitis
HAN Qing-hai.Laiwu City, Shandong Province People’s Hospital Shandong,Laiwu 271100,China
【Abstract】 Objective Severe acute pancreatitis(SAP)is more reasonable treatment. Methods 64 patients with severe acute pancreatitis in clinical data and literature analysis, the clinical effect of SAP treatment.Results 38 cases of non-surgical treatment, 4 died, 26 cases of surgical treatment, 3 patients died, mortality was 10.94%.Conclusion SAP with non-surgical treatment of significant progress, need for surgical treatment of cases are decreasing, but it should be developed as therapeutic strategy in patients with clinical features, not the blind pursuit of non-surgical treatment or surgery.
【Key words】 Severe acute pancreatitis; Diagnosis；Treatment
2003年3月至2009年3月我科共收治SAP患者64例 ......
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