急性重症胰腺炎的诊断与外科治疗

Diagnosis and Surgery Treatment of Severe Acute Pancreatitis

目的:探讨急性重症胰腺炎(SAP)的诊断、治疗原则及方法。方法:回顾性分析自 1996年6月至2004年6月收治的38例SAP的治疗经验体会,为制定完善的诊疗方案提供参考。结果:非手术治疗12例,治愈9例;手术治疗26例,治愈20例。全组并发ARDS 10例,急性肾功能不全6例,肝功能不全2例,心功能不全4例,消化道出血3例,共死亡9例,死亡率23.7%。结论:彩色B超、CT检查有助于SAP的早期诊断,针对患者具体情况采用相应的治疗措施是治疗 SAP成功的关键,合适的手术时机可减少并发症的发生、提高治愈率。

Objective:To investigate the diagnosis and the principle and methods of Severe Acute Pancreatitis(SAP).Method: 38 cases with SAP from June 1996 to June 2004 were retrospectively reviewed for perfect treatment project. Result: 9 in 12 non-operated cases and 20 in 26 operated were cured. Complication included ARDS in 10 cases, acute renal failure in 6, acute hepatic failure in 2, cardic insufficiency in 4, hemorrhage of digestive tract in 3. There were 9 death cases with a mortality rate of 23.7%. Conclusion: Colorful ultrasonic wave and CT is beneficial to early diagnosis of SAP. “Individual treatment scheme” can improve the outcome for the patients with SAP. Proper time of operation can reduce complication and increase cure rate.