急性重症胰腺炎手术与非手术治疗的对比研究

The Comparative Study of Operation and Non-operation on the Acute Severe Pancreatitis

目的寻找急性重症胰腺炎的最佳治疗方法。方法回顾性分析我院从1992年9月～2006年3月收治的急性重症胰腺炎48例治疗经过,治愈29例,死亡9例,多数病人死于急性肾功能衰竭、成人呼吸窘迫综合征。手术治疗21例,非手术治疗27例,比较手术疗法和非手术疗法的优缺点。结果中西医结合非手术治疗的结果优于手术治疗,死亡率低。结论是否手术治疗应该具体问题具体分析、区别对待,不能一概而论;早期手术治疗从治疗效果上来看是失败的。

Objective To discuss the best therapy method for the acute severe pancreatitis. Methods We had a retrospective analysis on the treatment process of 48 SAP patients （September, 1992-March, 2006）, among which 29 cases were cured, 9 died. Most of patients died of acute renal failure and adult respiratory distress syndrome. 21 patients had been on operation,27 cases were not operated. We compared the advantages and disadvantages of surgery methods with that of non surgery. Results The non-operation method with the integration of traditional Chinese medicine and western medicine had a better result than operation group and had a low death rate. Conclusion Whether or not to choose operation should be depended on actual circumstances, not unchanged thoroughly. It is a failure to have an operation at the early stage from the actual results.