重症胰腺炎外科治疗分析(附79例疗效分析)

Surgical Treatment of Acute Severe Pancreatitis

目的 :探讨急性重症胰腺手术治疗及术后灌洗引流。方法 :对急性重症胰腺炎采取胰床广泛切开清除坏死组织、术后灌洗引流及综合治疗。结果 :由 1992年前 ,单纯引流 2 6例 ,死亡 15例 ,死亡率 5 7.6 9%。 1992年后 ,改进手术及术后灌洗引流 5 3例 ,死亡 12例 ,死亡率为 2 2 .6 4% ,结论 :重症胰腺炎经手术及术后灌洗引流 。

Objective: To observe the therapeutic effect of improved operation on the acute serious pancreatitis. Methods:The documents were reviewed: Patients with severe acute pancreatitis were treated by surgery aimed at the debridement of necrotic tissues, combined with irrigation and full drainage or operation combined drainage. Results: Before 1992, 15 of 26 cases only drianage operation were dead (57.69%), but 12 of 53 cases improved operation were only dead (22.64%). Conclusion: The mortality rate of severe acute pancreatitis patients was obviously decreased by combined therapy.