重症急性胰腺炎的诊治体会

Experiences on Serious Acute Pancreatitis

目的:探讨重症急性胰腺炎的的手术时机及治疗方法。方法:对1995年3月至2005年10月间收治的重症急性胰腺炎38例的系统性回顾分析。结果:对于重症急性胰腺炎,针对不同的病期以及有无感染,采取不同的治疗方法。首先要分清是胆源性的还是非胆源性的。胆源性的分梗阻性与非梗阻性。梗阻性的分完全梗阻与不完全梗阻。对完全梗阻的胆源性重症急性胰腺炎采取急诊手术或内镜治疗。对于不完全梗阻或非胆源性重症急性胰腺炎采取非手术治疗。治疗过程要密切观察,行CT复查看是否有感染的存在,已感染的患者专利制度监护24h无效,需转手术治疗。结论:重症急性胰腺炎采用个体化的治疗方案治疗,能缩短住院时间,降低医疗费用,提高治疗率。

Objective To discuss the operation opportunity and treatment methods of acute pancreatitis. Methods The data of thirty eight patients of acute pancreatiats came to our hospital from 1995 to 2005 were retrospectively analysis in this artocle. Results To all the patients we decided time according to the pathogeny, complete occluded cystic panereatitis and those who were infected in 24 hours with no curative effete were best fit to operation or endoscope treatment. Conclusion The pancreatitis can he well treated as tys different classitication.