急性出血坏死性胰腺炎治疗方案的探讨

Inquiry of Surgical Plan for Treatment of Acute Hemorrhagic Necrotic Pancreatitis

目的探讨急性出血性胰腺炎的合理治疗方案。方法根据ＣＴ影像或术中所见胰腺坏死的范围将１０２例急性出血坏死性胰腺炎病例分为三级，比较各级病人手术与保守治疗的死亡率。结果轻度病例两种治疗方案均无死亡；中度病例手术死亡率明显高于保守治疗者；重度病例保守治疗死亡率高于手术。结论轻度和中度病例应以保守治疗为主，重度病例应以手术治疗为主。

bjective To inquire into the rational plan for treatment of acute hemorrhagic necrotic pancreatitis.Methods According to the extent of pancreatic necrosis revealed by CT films or found during operations,one hundred and two patients with acute hemorrhagic necrotic pancreatitis were classified into three degrees.The mortality was compared between conservative treatment group and operation group in each degree.Results There was no death in the group of moderate degree.The mortality of operation group was obviously higher than that of conservative treatment group in middle degree but lower in the group of severe degree.Conclusion The patients of moderate or middle degree should mainly receive conservative treatment and those of severe degree undergo operation.