[摘要] 目的 探讨不同手术时机治疗重症胰腺炎患者的临床效果。 方法 随机选取2010年1月—2014年1月该院普外科收治的重症胰腺炎患者58例，根据不同的手术时机将其分成观察组29例，对照组29例。观察组发病急性期后进行手术，对照组在发病急性期手术治疗。对两组患者的存活率及术后并发症进行观察。结果 观察组患者的死亡率及并发症明显低于对照组患者(P<0.05)。结论 重症胰腺炎患者的手术时机的把握至关重要，待其感染的坏死胰腺组织或感染性积液局限或脓肿形成时进行延期手术能够获得更佳治疗效果，明显提高患者的存活率，减少并发症，值得临床推广。

    [关键词] 手术时机；重症胰腺炎；临床

    [中图分类号] R657.5 [文献标识码] A [文章编号] 1674-0742(2015)05(c)-0024-02

    [Abstract] Objective To study clinical effect of treatment of patients with severe acute pancreatitis in different operative opportunity. Methods 58 patients with severe acute pancreatitis randomly admitted in Department of General Surgery from January 2010 - January 2014 were selected and divided into observation group(n=29) and control group(n=29) according to the different operative opportunity. The surgery was done after acute stage in the observation group while it was completed during the acute stage in the control group. Survival rate and postoperative complications of the two groups were observed. Results The patient mortality and complications of observation group was obviously lower than that of the control group(P<0.05). Conclusion The patients with severe acute pancreatitis surgical timing is critical ......