重症急性胰腺炎的并发症及死亡原因分析(附58例报告)

The complication and dead causes of severe acute panereatitis:Report of 58 cases

目的 探讨重症急性胰腺炎的主要并发症及死亡原因。方法 回顾性分析我院 1992年至 2 0 0 3年诊治的重症急性胰腺炎 5 8例的临床资料。结果 由于 1996年前、后治疗原则不同 ,其并发症发生率及死亡率有差异 ,而继发性感染仍是最主要的并发症。结论 采取“个体化治疗方案”治疗重症急性胰腺炎可降低并发症发生率及死亡率。继发感染是导致并发症及死亡的最主要因素。

Objective To explore the major complications of severe acute pancreatitis(SAP).Methods The clinical data of 58 cases of SAP from 1992 to 2003 were retrospectively analyzed.Results The incidence of complications and mortality were different because of different treatment principles before and after 1996.But secondary infection was the most major comlication.Conclusion The treatment of SAP guided by'individualized plan'can decrease the incidence of complication and mortality,and the major cause of complication and mortality was secondary infection.So it is the most important to prevent secondary infection.