重症急性胰腺炎早期非手术治疗的探讨

Early non - operative treatment of severe acute pancreatitis

目的：探讨重症急性胰腺炎（SAP）的治疗效果。方法：采取回顾性总结方法对1992年1月～1997年5月收治的86例SAP病例资料，分析发病2周内非手术治疗和手术治疗的并发症发生率以及治愈率。结果：发现经早期非手术治疗使SAP特别是SAPⅡ型的病人并发症发生率大大降低，并提高了疾病的治愈率。结论：在ICU的严密监护下，对SAP患者采用全身支持治疗，使用抗胰酶制剂，胰腺休息治疗，以及预防性应用抗生素等早期非手术治疗取得明显的效果，值得提倡和推广。

The effect of different treatment in severe acute pancreatitis(SAP) are not very sure. From January 1992 to May 1997, 86 cases of SAP were studied retrospectively. They were divided into two groups:operative and non- operative group. The operative group contained 43 cases who had been OPerated during the first 2 weeks after they were admitted into the hospital. The patients in the other group had got no operation at the same period. The morbidity of complication and the curative rate were compared. The morbidity of compli cartion in non-operative group(36.8)was lower than operative one (91.7).And the curative rate of non -operative group increased significantly , especially in SAPⅡcases.The treatment of non-operative in the early stage, including the continuous monitoring in ICU;alimentary supporting;using the pancreatin inhibitor;rest the pancreace and early administration of antibiotics can bring a satisfactory therapeutic result.