摘要
作者分析80例重型胰腺炎病人的临床资料。病死19例(23.8％)。病死率在手术时机≤5d和>5d组分别为40％和11.1％(P<0.01),在坏死组织清除组和规则性胰切除组为17.7％和44.4％(P<0.05),在给营养支持组和未给营养支持组为15.5％和40.7％(P<0.05)。结果提示:本病的手术时机最好推迟到发病5d后,术式宜行坏死组织清除术,尽早给营养支持有益于改善预后。
Eighty cases of acute pancreatitis in severe type were analysed. Nineteen patients died, giving an overall mortality of 23.8％. The mortality rate was 40％ in the group in which operation were performed within 5 days and 11.1％ in which operation were performed after 5 days(P<0.01) ,it was 17.7％ in the necrosectomy group and 44.4％ in the group with partial pancreactomy (P<0.05). The mortality rate was 15.1％ and 40.7％ in the group receiving nutritional support and in those without nutritional support respectively (P<0.05). Our data indicates that operation delayed if possible for more than 5 days appeared more favorable, and necrosectomy might be the operation of choice. Early nutritional support can improve the prognosis of this disease.
