重症急性胰腺炎的认识与对策的历史演进

The Historical Evolution about the Recognition and Treatment of Severe Acute Pancreatitis

人类对重症急性胰腺炎(SAP)的认识经历了漫长的时期,其诊治随着认识的进步而进步。SAP经历了手术、非手术、早期手术、手术和非手术治疗并重、"个体化治疗方案"的发展过程,目前处于手术和非手术两种治疗方案并存的阶段。以积极有效、综合的非手术治疗为主,手术只用于处理继发性感染等并发症以及特殊类型SAP。通过了解其演进过程而进一步对SAP有更全面且深刻的认识,提出更加合理的诊治方案。

The recognition of severe acute pancreatitis from human has experienced a long period. Its diagnosis and therapy is being improved with the further recognition. The therapy of SAP underwent the development process of surgery, non-operative, early surgery, both surgical and non-surgical treatment, and ＂ individual treatment programmes＂ ,which is lying in a phase of combined therapy of surgery and non - surgery. The focus is put on the effective general non -surgery therapy,and surgery is only used to cope with its special type and some complications, such as secondary infection. Understanding their evolutionary process will enable us to have a more comprehensive and profound conception of the diagnosis and treatment of severe acute pancreatitis, and to design the more feasible programs.