【摘要】 目的 总结重症急性胰腺炎(severeacutepancreatitis SAP)治疗的处理方法及安全常用手术方式。方法 选择56例SAP患者,经积极有效保守治疗,和/或加用合理手术方式。(待胰腺坏死组织和正常组织界限分清时,原则是尽可能清除感染性坏死组织,保存有生机的胰腺组织,提供有效的引流,视病变类型选择手术)。结果 治愈45例,死亡11例,其中非手术治愈31例,死亡7例,手术治愈14例,死亡4例,总死亡率为19.64%,其中手术治疗组死亡率为28.57%,非手术组死亡率为22.58%。结论 SAP一旦确诊,急性期内先行非手术治疗,后期手术可明显提高患者生存率,并缩短疗程。

    【关键词】重症急性胰腺炎;液体复苏;手术时机

    【Abstract】 Objective Conclusion ofthe severe acute pancreatitis treatment and the methods of safe operation.Methods 56 patients with SAP chosen going through conservative treatment in addition to suitable operation(The principle is to remove the infected and destroyed tissue effectively by drawing out the pus from the focus first and preserve the living tissue of pancreatitis by operating according to the pathological change after the separation of good tissues from the bad ones.Results 45 were cured 11 were death(including 14 cured and 4 death; 28.57%death rate among the operative group/31cured 7 death; 22.58%death rate among the nonoperative group.Conclusion Nonoperative treatment followed by surgical treatment for the acute pancreatitis after diagnosis will obviously enhance the survival rate and shorten the process. ......