应用小网膜蝶形开放引流术治疗急性重型胰腺炎

Management of severe acute pancreatitis:Necrosectomy and opened continuous lavage of lesser sac

通过分析了２０例急性重型胰腺炎病人的治疗情况，认为其诊断一旦成立，宜及时治疗，以个体化方案较为确切，对于诊断明确的急性重型胰腺炎，尤其并有多器官功能衰竭者应及时手术，方法则采用胰腺坏死组织清除、小网膜囊敞开引流和术后持续冲洗术。本组病人采用此法取得较满意结果。

Twenty cases of severe acrte pancreatitis about experiences of surgical treatment were reported from 1985 to 1994.They should be treated as soon as the diagnosis are estabished. Tilers is therefore no such thing as the optimun timing for all patients with severe acute pancreatitis, rath therapy must heed to the individualneeds and objective evidence in each patients. The patients should be taken surgical intervention when the diagnosis of severe acute pancreatitis,particularly with the coplications of MOF,is clealy set up. Necrosectomy and opened continuous lavage of the lessec sac is one of the best programmes.We have obtained satisfactory outcome by taking the method.